Raymond Shane Smith, PA-C
NPI #1104006592 in Johnson City, Tennessee
Provider Information
- NPI Number
- 1104006592
- Entity Type
- Individual
- Name
- Raymond Shane Smith, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Nov 14, 2007
- Last Updated
- Feb 23, 2017
Practice Location
- Address
- 410 N STATE OF FRANKLIN RD
- Address 2
- SUITE 130
- City
- Johnson City
- State
- Tennessee
- ZIP Code
- 37604-6971
- Phone
- (423) 431-2477
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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