Wyatt, Samantha S

Wyatt, Samantha S is an individual health care provider with primary practice located at 620 Walnut St Ne Suite A, Decatur AL 35601-2456. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Wyatt, Samantha S can be contacted via phone (256) 353-7775.

Contact Information

Primary practice address
620 Walnut St Ne Suite A Decatur AL 35601-2456
Phone: (256) 353-7775
Fax: (256) 353-7765
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 00026547 Alabama

Profile Details

NPI number 1942247150
LBN Legal business name Wyatt, Samantha S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Dec 18th, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1942247150 NPPES
Alabama MEDICAID 009932289
Alabama Other 51001088
Alabama MEDICAID 529924440

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