| Doctor Name: | WINSTON L SAMUELS |
| NPI Number: | 1306069380 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 060867 |
| Business Practice Address: | 3725 Zoar Rd Snellville, GA - 300396134 |
| Business Phone Number: | 7709791818 |
| Business Fax Number: | 7707367134 |
| Mailing Address: | 3725 Zoar Rd, SNELLVILLE |
| State: | GA |
| Postal Code: | 300396134 |
| Phone Number: | 7709791818 |
| Fax Number: | 7707367134 |
| NPI Enumeration Date: | 04/10/2007 |
| NPI Last Update Date: | 08/03/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 060867 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |