Dr. Whitaker Michael Smith
Family Doctor
1019 W Oakland Ave Suite 1
Johnson City
, Tennessee 37604-2357
Dr. Whitaker Michael Smith
Family Doctor
1019 W Oakland Ave Suite 1
Johnson City
, Tennessee 37604-2357
(615) 208-1303
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Dr. Whitaker Michael Smith
- 30 Burton Hills Blvd Ste 175
- Nashville, TN
- Zip : 37215-6403
- Fax : (615) 208-1303
- Phone : (615) 988-2014
Second Address
- Dr. Whitaker Michael Smith
- 1019 W Oakland Ave Suite 1
- Johnson City, TN
- Zip : 37604-2357
- Fax : (423) 915-5045
- Phone : (423) 915-5000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 0000031792 | TN |
National Provider Identifier
| NPI | 1003827205 |
|---|---|
| Provider Name | Dr. Whitaker Michael Smith |
| First Address | Nashville, TN 37215-6403 |
| Second Address | Johnson City, TN 37604-2357 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/08/2006 |
| Last Update Date | 20/11/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 005618941 | (05) | VA |
| 080162793 | RAILROAD MEDICARE (01) | TN |
| 3841375 | (05) | TN |
| E39178 | (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.