| Bridges W. Smith, P.c. | |
|
1241 Volunteer Pkwy Ste 436 Bristol TN 37620-4659 | |
| (423) 990-2315 | |
| (423) 990-2316 |
| Full Name | Bridges W. Smith, P.c. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1241 Volunteer Pkwy, Bristol, Tennessee |
| Authorized Official Name and Position | Bridges Wade Smith (SENIOR PSYCHOLOGICAL EXAMINER) |
| Authorized Official Contact | 4239902315 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridges W. Smith, P.c. 1241 Volunteer Pkwy Ste 436 Bristol TN 37620-4659 Ph: (423) 990-2315 | Bridges W. Smith, P.c. 1241 Volunteer Pkwy Ste 436 Bristol TN 37620-4659 Ph: (423) 990-2315 |
| NPI Number | 1164846135 |
|---|---|
| Provider Enumeration Date | 02/12/2014 |
| Last Update Date | 02/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164846135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 11716 (Tennessee) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | 11716 (Tennessee) | Primary |
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