Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MARK THOMAS SMITH, PA-C
Active Sole ProprietorMR. MARK THOMAS SMITH, PA-C is a Medical Physician Assistant healthcare provider located in LAKE CITY, Tennessee. NPI 1235322181 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · LAKE CITY, TN
Registration Details
- NPI Number
- 1235322181
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 23, 2007 (18.831802413657 yrs)
- Last Updated
- Aug 23, 2007
- License
-
1001 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
106 CREEK STLAKE CITY, TN, 37769Browse TN providers · Browse ZIP 37769
- Phone
- 8654262186
- Fax
- 8654269200
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
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.