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Samantha Ball Do Llc
Primary Care Clinic/Center in Dacula, Georgia
NPI 1942938311

Samantha Ball Do Llc is a Primary Care Clinic/Center based in Dacula, GA and is specialized in Primary Care. Samantha Ball Do Llc practices in Dacula, GA. The NPI Number for Samantha Ball Do Llc is 1942938311 and holds a License No. (Georgia).

The current practice location address for Samantha Ball Do Llc is 3619 Braselton Hwy Ste 103, Dacula, GA and can be reached out via phone at 770-513-8882 and via fax at 770-513-3545.

Location: 3619 Braselton Hwy Ste 103, Dacula, GA, 30019-4668
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942938311
Provider Name
Samantha Ball Do Llc
Credential
Provider Entity Type
Organization
Address
3619 Braselton Hwy Ste 103, Dacula, GA, 30019-4668
Phone Number
770-513-8882
Fax Number
770-513-3545
Provider Enumeration Date
08/12/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
3619 Braselton Hwy Ste 103
City
Dacula
State
Georgia
Zip
30019-4668
Phone Number
770-513-8882
Fax Number
770-513-3545
person
Provider Business Mailing Address Details
Address
3619 Braselton Hwy Ste 103
City
Dacula
State
Georgia
Zip
30019-4668
Phone Number
770-513-8882
Fax Number
770-513-3545
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
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