Organization
SIDNEY P SMITH MD PC
Active
Organization
SIDNEY P SMITH MD PC
Active
Other names
georgia skin and cancer clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SIDNEY P SMITH III M.D. (OWNER/PRESIDENT)
(912) 925-0067
Entity
Organization
Contact information
Practice address
900 MOHAWK ST, E, SAVANNAH, GA 31419-1780
(912) 925-0067
(912) 927-0267
Mailing address
900 MOHAWK ST, E, SAVANNAH, GA 31419-1780
(912) 925-0067
(912) 927-0267
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207ND0900X
Dermatopathology Physician
—
—
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
—
—
207NP0225X
Pediatric Dermatology Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GPA574
—
SC
Enumeration date
11/09/2005
Last updated
10/31/2025
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