person
Kathryn B Samples, PA-C
Surgical Physician Assistant in Carrollton, Georgia
NPI 1386628790

Kathryn B Samples is a Surgical Physician Assistant based in Carrollton, GA and is specialized in Surgical. Kathryn B Samples practices in Carrollton, GA and has the professional credentials of PA-C. The NPI Number for Kathryn B Samples is 1386628790 and holds a License No. 003055 (Georgia).

The current practice location address for Kathryn B Samples is 157 Clinic Ave, Carrollton, GA and can be reached out via phone at 770-834-3336 and via fax at 770-832-2136.

Location: 157 Clinic Ave, Carrollton, GA, 30117-3857
person
Provider Profile Details
NPI Number
1386628790
Provider Name
Kathryn B Samples
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
157 Clinic Ave, Carrollton, GA, 30117-3857
Phone Number
770-834-3336
Fax Number
770-832-2136
Provider Enumeration Date
11/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100000202A 05 GA
institution
Provider Business Practice Location Address Details
Address
157 Clinic Ave
City
State
Zip
30117-4413
Phone Number
770-834-3336
Fax Number
770-832-2136
person
Provider Business Mailing Address Details
Address
157 Clinic Ave
City
State
Zip
30117-4413
Phone Number
770-834-3336
Fax Number
770-832-2136
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
003055 (Georgia)
Definition
Definition to come...
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