Healthcare Provider Details

I. General information

NPI: 1134823461
Provider Name (Legal Business Name): ARTHUR THOMAS SAMARAS III DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2023
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1108 ROSS CLARK CIR
DOTHAN AL
36301-3022
US

IV. Provider business mailing address

105 SELLERS CT
DALEVILLE AL
36322-4547
US

V. Phone/Fax

Practice location:
  • Phone: 334-793-8111
  • Fax: 334-699-4747
Mailing address:
  • Phone: 334-793-8111
  • Fax: 334-699-4747

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number4587
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: