TEVIS C SMITH

COMMONWEALTH HEALTH CORPORATION INC

Dr TEVIS C SMITH is a male medical professional, specializing in Certified Registered Nurse Anesthetist (crna). He graduated in 2017.

Contact

COMMONWEALTH HEALTH CORPORATION INC

250 PARK ST
BOWLING GREEN
KY
421011760

Tel: 2707962431

TEVIS C SMITH Information

Npi 1902312804
Pac Id 3971863200
Professional Enrollment Id I20180207000471
Last Name SMITH
First Name TEVIS
Middle Name C
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2017
Primary Specialty CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name COMMONWEALTH HEALTH CORPORATION INC
Group Practice Pac Id 5496667628
Number Of Group Practice Members 112
Line 1 Street Address 250 PARK ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City BOWLING GREEN
State KY
Zip Code 421011760
Phone Number 2707962431
Hospital Affiliation Ccn 1 180013
Hospital Affiliation Lbn 1 THE MEDICAL CENTER (BOWLING GREEN)
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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