Provider Demographics
NPI:1881602506
Name:SMITH, JAMES FRANKLIN (ATC/L)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:FRANKLIN
Last Name:SMITH
Suffix:
Gender:M
Credentials:ATC/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1327 WOODPOINTE DR
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37760-5233
Mailing Address - Country:US
Mailing Address - Phone:865-755-5744
Mailing Address - Fax:865-429-6657
Practice Address - Street 1:414 TIGER DR
Practice Address - Street 2:
Practice Address - City:PIGEON FORGE
Practice Address - State:TN
Practice Address - Zip Code:37863-4210
Practice Address - Country:US
Practice Address - Phone:865-755-5744
Practice Address - Fax:865-774-5798
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1038174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist