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NPI Code Detail

MEDICARE: SYDNEY MARGARET SMITH DPT

MEDICARE: SYDNEY MARGARET SMITH DPT
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
1208100000XPhysical Medicine & Rehabilitation PhysicianPT013279GA

General Provider Information

NPI Number : 1962908509
Entity Type Code : Individual
Provider Name (Legal Business Name) : SYDNEY MARGARET SMITH DPT
Provider Business Mailing Address
First Line : 1261 GATES CIR SE
Second Line :
City : ATLANTA
State : GA
Zip : 30316-4094
Country : US
Telephone Number : 909-706-2137
Fax Number :
Provider Business Practice Location Address
First Line : 3755 PEACHTREE RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30319-1323
Country : US
Telephone Number : 404-237-2323
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2018
Last Update Date : 04/03/2018

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