Bill Moore Smith JR.
Family Doctor - Sports Medicine
632 Morrison Springs Road Suite #202
Chattanooga
, Tennessee 37415
Bill Moore Smith JR.
Family Doctor - Sports Medicine
632 Morrison Springs Road Suite #202
Chattanooga
, Tennessee 37415
(423) 778-3391
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Bill Moore Smith JR.
- 632 Morrison Springs Road Suite #202
- Chattanooga, TN
- Zip : 37415
- Fax : (423) 778-3391
- Phone : (423) 778-3390
Second Address
- Bill Moore Smith JR.
- 632 Morrison Springs Road Suite #202
- Chattanooga, TN
- Zip : 37415
- Fax : (423) 778-3391
- Phone : (423) 778-3390
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QS0010X | Family Doctor - Sports Medicine | 20573 | TN |
National Provider Identifier
| NPI | 1003881061 |
|---|---|
| Provider Name | Bill Moore Smith JR. |
| First Address | Chattanooga, TN 37415 |
| Second Address | Chattanooga, TN 37415 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/02/2006 |
| Last Update Date | 03/01/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1522960 | (05) | TN |
| B06347 | (02) | TN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.