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Elizabeth Sam
Primary Care Nurse Practitioner in Lilburn, Georgia
NPI 1154828366

Elizabeth Sam is a Primary Care Nurse Practitioner based in Lawrenceville, GA and is specialized in Primary Care. Elizabeth Sam practices in Lilburn, GA. The NPI Number for Elizabeth Sam is 1154828366 and holds a License No. F01180587 (Georgia).

The current practice location address for Elizabeth Sam is 4025 Lawrenceville Hwy Nw, Lilburn, GA and can be reached out via phone at 770-559-3501.

Location: 4025 Lawrenceville Hwy Nw, Lilburn, GA, 30045-3500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154828366
Provider Name
Elizabeth Sam
Credential
Provider Entity Type
Individual
Gender
Female
Address
4025 Lawrenceville Hwy Nw, Lilburn, GA, 30045-3500
Phone Number
770-559-3501
Fax Number
Provider Enumeration Date
04/12/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4025 Lawrenceville Hwy Nw
City
Lilburn
State
Georgia
Zip
30047-3013
Phone Number
770-559-3501
Fax Number
person
Provider Business Mailing Address Details
Address
4025 Lawrenceville Hwy Nw
City
Lilburn
State
Georgia
Zip
30047-3013
Phone Number
770-559-3501
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
F01180587 (Georgia)
Definition
Definition to come...
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