Provider Demographics
NPI:1104229368
Name:SMITH CHIROPRACTIC CLINICS P C
Entity type:Organization
Organization Name:SMITH CHIROPRACTIC CLINICS P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:WRIGHT SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:901-794-0876
Mailing Address - Street 1:PO BOX 3531
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38088-3531
Mailing Address - Country:US
Mailing Address - Phone:901-794-0876
Mailing Address - Fax:901-794-0854
Practice Address - Street 1:7981 DEXTER RD
Practice Address - Street 2:SUITE 101
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38016-8798
Practice Address - Country:US
Practice Address - Phone:901-794-0876
Practice Address - Fax:901-794-0854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-02
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1198111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3009410OtherBCBS
TN359871320OtherAETNA
473006OtherCOVENTRY NATIONAL
TN3009410OtherBCBS