Individual
AMANDA HERCULES SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5187 LIBRARY RD, BETHEL PARK, PA 15102-2772
(412) 835-4886
Mailing address
1000 BOWER HILL ROAD, ST CLAIR HOSPITAL - AFFILIATE BILLING - PAMALYN, PITTSBURGH, PA 15243-1873
(412) 924-2548
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD440368
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102519128
—
PA
Enumeration date
08/13/2010
Last updated
02/16/2021
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