Smith, Sidney P

Smith, Sidney P is an sole proprietor health care provider with primary practice located at 900 Mohawk St , Savannah GA 31419-1780. He recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Smith, Sidney P can be contacted via phone (912) 925-0067.

Contact Information

Primary practice address
900 Mohawk St Savannah GA 31419-1780
Phone: (912) 925-0067
Fax: (912) 927-0267
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 038615 Georgia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 38615 Georgia
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 038615 Georgia
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 17623 South Carolina
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X 038615 Georgia
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X 17623 South Carolina
Allopathic & Osteopathic Physicians / Pediatric Dermatology 207NP0225X 038615 Georgia
Allopathic & Osteopathic Physicians / Pediatric Dermatology 207NP0225X 17623 South Carolina
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 17623 South Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 038615 Georgia
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 038615 Georgia

Profile Details

NPI number 1104817410
LBN Legal business name Smith, Sidney P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 4th, 2005
Last updated Mar 31st, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104817410 NPPES
Georgia MEDICAID 722272524A
Georgia MEDICAID 176231
Georgia MEDICAID 722272524B
Georgia MEDICAID 000637909C
Georgia MEDICAID 722272524C

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