| Organization Name: | OK SMITH JR MD PLLC |
| NPI Number: | 1780890293 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | O K SMITH (OWNER) |
| Mailing Address: | 1109 E Reelfoot Ave Suite H Union City |
| State: | TN US |
| Postal Code: | 382615856 |
| Phone Number: | 7318841515 |
| Fax Number: | 7318841512 |
| NPI Enumeration Date: | 05/15/2007 |
| NPI Last Update Date: | 05/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |