Individual
MR. SIDNEY P SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
900 MOHAWK ST, SAVANNAH, GA 31419-1780
(912) 925-0067
(912) 927-0267
Mailing address
900 MOHAWK ST, SAVANNAH, GA 31419-1780
(912) 925-0067
(912) 927-0267
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
038615
GA
207N00000X
Dermatology Physician
17623
SC
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
038615
GA
207ND0900X
Dermatopathology Physician
038615
GA
207ND0900X
Dermatopathology Physician
17623
SC
207NP0225X
Pediatric Dermatology Physician
038615
GA
207NP0225X
Pediatric Dermatology Physician
17623
SC
207NS0135X
Procedural Dermatology Physician
038615
GA
207NS0135X
Procedural Dermatology Physician
17623
SC
207Q00000X
Family Medicine Physician
38615
GA
207R00000X
Internal Medicine Physician
038615
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000637909C
—
GA
05
—
176231
—
SC
05
—
722272524A
—
GA
05
—
722272524B
—
GA
05
—
722272524C
—
GA
Enumeration date
11/04/2005
Last updated
03/31/2021
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