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NPI Code Detail

MEDICARE: SAMANTHA CRAFT CPS

MEDICARE: SAMANTHA CRAFT CPS
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
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1255025763
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA CRAFT CPS
Provider Business Mailing Address
First Line : 4292 GRAY HWY
Second Line :
City : GRAY
State : GA
Zip : 31032-5900
Country : US
Telephone Number : 478-864-3448
Fax Number : 478-864-1288
Provider Business Practice Location Address
First Line : 4292 GRAY HWY
Second Line :
City : GRAY
State : GA
Zip : 31032-5900
Country : US
Telephone Number : 478-864-3448
Fax Number : 478-864-1288
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2023
Last Update Date : 02/10/2026

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Directions to “ SAMANTHA CRAFT CPS” Practice Location

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