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Roy Oliver Samuels
Private Vehicle in Conyers, Georgia
NPI 1942577341

Roy Oliver Samuels is a Private Vehicle based in Conyers, GA. Roy Oliver Samuels practices in Conyers, GA. The NPI Number for Roy Oliver Samuels is 1942577341 and holds a License No. 057718186 (Georgia).

The current practice location address for Roy Oliver Samuels is 1385 Travers Creek Trl, Conyers, GA and can be reached out via phone at 718-807-7058.

Location: 1385 Travers Creek Trl, Conyers, GA, 30012-3581
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942577341
Provider Name
Roy Oliver Samuels
Credential
Provider Entity Type
Individual
Gender
Male
Address
1385 Travers Creek Trl, Conyers, GA, 30012-3581
Phone Number
718-807-7058
Fax Number
Provider Enumeration Date
11/30/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1385 Travers Creek Trl
City
Conyers
State
Georgia
Zip
30012-3581
Phone Number
718-807-7058
Fax Number
person
Provider Business Mailing Address Details
Address
1385 Travers Creek Trl
City
Conyers
State
Georgia
Zip
30012-3581
Phone Number
718-807-7058
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
057718186 (Georgia)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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