Healthcare Provider Details

I. General information

NPI: 1144694803
Provider Name (Legal Business Name): SARAH GARWOOD SMITH PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/18/2015
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6715 MCCRIMMON PKWY STE 300
CARY NC
27519-1916
US

IV. Provider business mailing address

6715 MCCRIMMON PKWY STE 300
CARY NC
27519-1916
US

V. Phone/Fax

Practice location:
  • Phone: 919-481-4997
  • Fax:
Mailing address:
  • Phone: 919-774-6023
  • Fax: 919-776-6359

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0010-06071
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: