Individual
SYDNEY M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 446-5185
(704) 446-0221
Mailing address
935 JACK PAGE LN, CANTON, GA 30115-2927
(770) 630-8912
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
001014348
NC
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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