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Contact Information

SIDNEY P SMITH, MD
900 MOHAWK ST
SAVANNAH, GA31419-1780
 Phone: 912-925-0067
 Fax: 912-927-0267
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

MOHS-Micrographic Surgery

207ND0101X 07 Physician/Dermatology
 

Dermatology

207N00000X 07 Physician/Dermatology
 

Dermatopathology

207ND0900X 07 Physician/Dermatology
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Pediatric Dermatology

207NP0225X 07 Physician/Dermatology
 

Procedural Dermatology

207NS0135X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for SIDNEY P SMITH · (Male)

NPI # 1104817410
Status Active
Credentials MD
Entity Individual
Enumeration date 11/04/2005
Last updated 03/31/2021 - About 5 years ago
Sole proprietor 1 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(s)
  • CANDLER HOSPITAL - (Acute Care)
    5353 REYNOLDS STREET
    SAVANNAH, GA 31412
  • ST JOSEPH'S HOSPITAL - SAVANNAH - (Acute Care)
    11705 MERCY BOULEVARD
    SAVANNAH, GA 31419
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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