Smith, Paula Renee

Smith, Paula Renee is an individual health care provider with primary practice located at 408 N State Of Franklin Rd Suite 24, Johnson City TN 37604-6089. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Smith, Paula Renee can be contacted via phone (423) 431-1810.

Contact Information

Primary practice address
408 N State Of Franklin Rd Suite 24 Johnson City TN 37604-6089
Phone: (423) 431-1810
Fax: (423) 431-1811
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101102663 Virginia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 47736 Tennessee

Profile Details

NPI number 1043211204
LBN Legal business name Smith, Paula Renee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Dec 23rd, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043211204 NPPES
Kentucky MEDICAID 7100240050
Kentucky MEDICAID 1525800
Kentucky MEDICAID 1043211204
Kentucky Other P00984680

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