MEDICARE: DR. NATHAN PIERCE SMITH M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	54712	TN

General Provider Information

NPI Number	:	1730527144
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NATHAN PIERCE SMITH M.D.

Provider Business Mailing Address
First Line	:	1924 ALCOA HWY # U56
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37920-1511
Country	:	US
Telephone Number	:	865-305-9081
Fax Number	:	865-305-8769

Provider Business Practice Location Address
First Line	:	1924 ALCOA HWY
Second Line	:	U56
City	:	KNOXVILLE
State	:	TN
Zip	:	37920-1511
Country	:	US
Telephone Number	:	865-305-9081
Fax Number	:	865-305-8769

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2013
Last Update Date	:	06/06/2026

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