Provider Demographics
NPI:1063775195
Name:SMITH, ANDREW BAIN (MD)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:BAIN
Last Name:SMITH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 751649
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28275-1649
Mailing Address - Country:US
Mailing Address - Phone:888-472-0043
Mailing Address - Fax:843-724-2440
Practice Address - Street 1:102 W 8TH NORTH ST STE B
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29483-6656
Practice Address - Country:US
Practice Address - Phone:844-975-6683
Practice Address - Fax:843-606-8056
Is Sole Proprietor?:No
Enumeration Date:2012-06-22
Last Update Date:2025-08-01
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Provider Licenses
StateLicense IDTaxonomies
SC874792080S0010X, 2080S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080S0010XAllopathic & Osteopathic PhysiciansPediatricsSports Medicine