Dr Sally Sockwell Smith, MD | |
1638 Owen Dr, Fayetteville, NC 28304-3424 | |
(910) 615-6691 | |
(910) 615-5398 |
Full Name | Dr Sally Sockwell Smith |
---|---|
Gender | Female |
Speciality | Radiology - Radiation Oncology |
Location | 1638 Owen Dr, Fayetteville, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265528558 | NPI | - | NPPES |
8945338 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 34221 (North Carolina) | Primary |
Entity Name | Southeastern Radiation Oncology |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851355390 PECOS PAC ID: 8426078981 Enrollment ID: O20091021000365 |
Mailing Address | Practice Location Address |
---|---|
Dr Sally Sockwell Smith, MD 1638 Owen Dr, Fayetteville, NC 28304-3424 Ph: (910) 615-6691 | Dr Sally Sockwell Smith, MD 1638 Owen Dr, Fayetteville, NC 28304-3424 Ph: (910) 615-6691 |
Dr. Bryan Nicholas Swilley, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3186 Village Dr Ste 201, Fayetteville, NC 28304 Phone: 910-486-5700 Fax: 910-486-5950 | |
Dr. Andrew Bostaph, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3027 Hampton Ridge Rd, Fayetteville, NC 28311 Phone: 303-933-8270 Fax: 972-437-3369 | |
Sheryl Gillikin Jordan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1301 Medical Dr, Fayetteville, NC 28304 Phone: 910-486-5700 Fax: 910-486-5950 | |
James E. Shearer, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 3186 Village Dr 201, Fayetteville, NC 28304 Phone: 910-486-5700 Fax: 910-486-5950 | |
Gretchen Elizabeth Green, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3186 Village Dr Ste 201, Fayetteville, NC 28304 Phone: 910-486-5700 Fax: 910-486-5950 | |
Irene Vasko, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3186 Village Dr Ste 201, Fayetteville, NC 28304 Phone: 910-486-5700 Fax: 910-486-5950 | |
Leroy Roberts Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3186 Village Dr 201, Fayetteville, NC 28304 Phone: 910-486-5700 |