MEDICARE: DR. ALLEYNE PATRICIA SMITH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	95-00450	NC
2	208D00000X	General Practice Physician	9500450	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1538227418	OTHER	NC	NPI

General Provider Information

NPI Number	:	1538227418
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALLEYNE PATRICIA SMITH MD

Provider Business Mailing Address
First Line	:	11230 HYDE POINTE CT
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28262-2684
Country	:	US
Telephone Number	:	704-264-3737
Fax Number	:

Provider Business Practice Location Address
First Line	:	11230 HYDE POINTE CT
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28262-2684
Country	:	US
Telephone Number	:	704-264-3737
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/04/2006
Last Update Date	:	01/04/2017

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