Spell, Samantha Suzanne
Spell, Samantha Suzanne is an individual health care provider with primary practice located at 1000 Medical Center Blvd Inpatient Medical Group, Lawrenceville GA 30045-7694. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Spell, Samantha Suzanne can be contacted via phone (678) 312-3294.Contact Information
Primary practice address
1000 Medical Center Blvd Inpatient Medical Group
Lawrenceville GA 30045-7694
Phone: (678) 312-3294
Fax: (678) 312-3282
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN145966 | Georgia |
Profile Details
| NPI number | 1811048663 |
|---|---|
| LBN Legal business name | Spell, Samantha Suzanne |
| Credentials | RN, NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Jan 25th, 2019 - about 5 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 | 1811048663 | NPPES |
| Georgia | MEDICAID | 778302548A |
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