Provider Demographics
NPI:1538227418
Name:SMITH, ALLEYNE PATRICIA (MD)
Entity type:Individual
Prefix:DR
First Name:ALLEYNE
Middle Name:PATRICIA
Last Name:SMITH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11230 HYDE POINTE CT
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28262-2684
Mailing Address - Country:US
Mailing Address - Phone:704-264-3737
Mailing Address - Fax:
Practice Address - Street 1:11230 HYDE POINTE CT
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262-2684
Practice Address - Country:US
Practice Address - Phone:704-264-3737
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2017-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC95-00450207R00000X
NC9500450208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1538227418OtherNPI