Individual
CICELY PATRICE DOWDELL-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3747 ROSWELL RD STE 201, MARIETTA, GA 30062
(770) 578-2868
(770) 971-8499
Mailing address
805 SANDY PLAINS ROAD, MEDICAL STAFF SERVICES, MARIETTA, GA 30066-6340
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
P6607
TX
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
2009-00602
NC
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
82169
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2009-00602
NC MEDICAL BOARD
NC
Enumeration date
05/06/2009
Last updated
10/31/2019
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