Tommie S Smith, PA-C
NPI #1265635957 in Carbondale, Illinois
Provider Information
- NPI Number
- 1265635957
- Entity Type
- Individual
- Name
- Tommie S Smith, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jun 8, 2007
- Last Updated
- Nov 2, 2020
Practice Location
- Address
- 2601 W MAIN ST
- City
- Carbondale
- State
- Illinois
- ZIP Code
- 62901-1031
- Phone
- (618) 549-5361
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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