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1568930410
MATTHEW SMITH
CLEVELAND, TN
NPI
1568930410
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TN 25152)
Enumeration Date
2018-11-08
Last Update Date
2018-11-08
Business Address
MATTHEW SMITH PMHNP-BC
940 S OCOEE ST
CLEVELAND, TN 37311-2601
Phone number: 423-479-5454
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Mailing Address
MATTHEW SMITH PMHNP-BC
4705 FRONTAGE RD NW
CLEVELAND, TN 37312-2997
Phone number: 423-368-1251
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