National Provider Identifier Database

SIDNEY P SMITH, MD – NPI #1104817410
MOHS-Micrographic Surgery

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.


Contact Information

SIDNEY P SMITH, MD
900 MOHAWK ST
SAVANNAH, GA31419-1780
Phone: 912-925-0067
Fax: 912-927-0267
Website:
Specialty Taxonomy Code
* MOHS-Micrographic Surgery 207ND0101X
Dermatology 207N00000X
Dermatopathology 207ND0900X
Family Medicine 207Q00000X
Internal Medicine 207R00000X
Pediatric Dermatology 207NP0225X
Procedural Dermatology 207NS0135X

* Indicates primary specialty

NPI Profile & details for SIDNEY P SMITH

NPI Number 1104817410
Credentials MD
Entity Individual
Enumeration date 11/04/2005
Last updated 03/31/2021 - About 5 years ago
Sole proprietor1 Yes
Identifiers
  • GA License #: 038615
  • GA License #: 38615
  • SC License #: 17623
  • GA Medicaid: 000637909C
  • GA Medicaid: 722272524A
  • GA Medicaid: 722272524B
  • GA Medicaid: 722272524C
  • SC Medicaid: 176231
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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