Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RAYMOND SHANE SMITH, PA-C
Active Sole ProprietorRAYMOND SHANE SMITH, PA-C is a Physician Assistant healthcare provider located in JOHNSON CITY, Tennessee. NPI 1104006592 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · JOHNSON CITY, TN
Registration Details
- NPI Number
- 1104006592
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 14, 2007 (18.769273162731 yrs)
- Last Updated
- Feb 23, 2017
- License
-
2338 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
410 N STATE OF FRANKLIN RDSUITE 130JOHNSON CITY, TN, 376046971Browse TN providers · Browse ZIP 37604
- Phone
- 4234312477
- Fax
- 4234312478
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in JOHNSON CITY, TN
| Name | Credential | NPI |
|---|---|---|
| MELISSA KAYE TAYLOR | PA-C | 1881697076 |
| ANDREW WILLIAM HULL | PA | 1811999857 |
| BRIAN K. BUXTON | PA-C | 1922098987 |
| MR. BRYAN DANIEL LORCH | P.A. | 1902888944 |
| MR. BRIAN H PLANT | PAC | 1972587277 |
| WILLIAM STACY MELVIN | P.A. | 1275517054 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.