Anderson, Samantha Lee
Anderson, Samantha Lee is an sole proprietor health care provider with primary practice located at 9 Dunwoody Park Suite #108, Atlanta GA 30338-7407. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Anderson, Samantha Lee can be contacted via phone (770) 399-5055.Contact Information
Primary practice address
9 Dunwoody Park Suite #108
Atlanta GA 30338-7407
Phone: (770) 399-5055
Fax: (770) 399-9638
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 49158 | Georgia |
Profile Details
| NPI number | 1568577245 |
|---|---|
| LBN Legal business name | Anderson, Samantha Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568577245 | NPPES |
| Georgia | MEDICAID | 00906914B |
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