Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
COLEEN MARIE SMITH, D.O.
Active Sole ProprietorCOLEEN MARIE SMITH, D.O. is a Electrodiagnostic Medicine healthcare provider located in JOHNSON CITY, Tennessee. NPI 1164519880 is currently active in the NPPES registry. Verify at CMS.
Electrodiagnostic Medicine · JOHNSON CITY, TN
Registration Details
- NPI Number
- 1164519880
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 6, 2006 (19.863617805614 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
1434 (TN)1434 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
111 W 10TH AVEJOHNSON CITY, TN, 376043844Browse TN providers · Browse ZIP 37604
- Phone
- 4237229355
- Fax
- 4237229333
- Primary Specialty
-
Electrodiagnostic Medicine
204D00000X
- Additional Specialty
- Family Medicine
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.