Faircloth, Samantha B

Faircloth, Samantha B is an sole proprietor health care provider with primary practice located at 902 Northside Dr , Perry GA 31069-3344. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Faircloth, Samantha B can be contacted via phone (478) 987-1610.

Contact Information

Primary practice address
902 Northside Dr Perry GA 31069-3344
Phone: (478) 987-1610
Fax: (973) 965-4580
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X PCET001520 Georgia

Profile Details

NPI number 1528380219
LBN Legal business name Faircloth, Samantha B
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2010
Last updated Feb 22nd, 2010 - about 14 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.

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