Individual
DR. SALLY SOCKWELL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 615-6691
(910) 615-5398
Mailing address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 615-6691
(910) 615-5398
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
34221
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8945338
—
NC
Enumeration date
10/05/2006
Last updated
03/27/2013
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