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NPI Code Detail

MEDICARE: CHRISTIN SAMS MMS, PA-C

MEDICARE: CHRISTIN SAMS MMS, PA-C
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
1363A00000XPhysician Assistant
2363A00000XPhysician Assistant007801GA

General Provider Information

NPI Number : 1922471234
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTIN SAMS MMS, PA-C
Provider Business Mailing Address
First Line : 2045 PEACHTREE RD NE STE 700
Second Line :
City : ATLANTA
State : GA
Zip : 30309-1417
Country : US
Telephone Number : 678-732-1389
Fax Number : 404-352-7452
Provider Business Practice Location Address
First Line : 3200 DOWNWOOD CIR NW STE 700
Second Line :
City : ATLANTA
State : GA
Zip : 30327-5308
Country : US
Telephone Number : 678-732-1389
Fax Number : 404-352-7452
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2015
Last Update Date : 12/18/2017

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