SUNCERERAE NATEL SMITH CFA
NPI 1386875862
Physician Assistant - Surgical in Norcross, GA

Active since August 02, 2009
512 WYNFIELD TRCE, NORCROSS, GA 30092(770) 559-0721(770) 559-0639 Get Directions Write a Review

NPPES record last updated: August 2, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Physician Assistant
  • Surgical

About SUNCERERAE SMITH

This page provides the complete NPI Profile along with additional information for Suncererae Smith, a provider established in Norcross, Georgia with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1386875862 assigned on August 2009. The practitioner's primary taxonomy code is 363AS0400X with license number 115523 (GA). The provider is registered as an individual and her NPI record was last updated 17 years ago.

NPI
1386875862 Verify this NPI
Provider Name
SUNCERERAE NATEL SMITH CFA
Gender
Female
Entity Type
Individual
Location Address
512 WYNFIELD TRCE NORCROSS, GA 30092
Location Phone
(770) 559-0721
Location Fax
(770) 559-0639
Mailing Address
PO BOX 768138 ROSWELL, GA 30076
Mailing Phone
(770) 559-0721
Mailing Fax
(770) 559-0639
Is Sole Proprietor?
Yes
Enumeration Date
08-02-2009
Last Update Date
08-02-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
115523
License State
GA

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386875862, enumerated as an "individual" on August 02, 2009.

The provider is located at 512 WYNFIELD TRCE NORCROSS, GA 30092 and the phone number is (770) 559-0721.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.