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NPI Code Detail

MEDICARE: DR. JORDAN LANDON SAMO MD

MEDICARE: DR. JORDAN LANDON SAMO MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician112295GA

General Provider Information

NPI Number : 1043951304
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JORDAN LANDON SAMO MD
Provider Business Mailing Address
First Line : 1364 CLIFTON RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30322-1059
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1364 CLIFTON RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30322-1059
Country : US
Telephone Number : 404-712-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2022
Last Update Date : 04/20/2026

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Directions to “ DR. JORDAN LANDON SAMO MD” Practice Location

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