Doctor Name: | ANDREA SAMAHA |
NPI Number: | 1528434552 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | RN199522 |
Business Practice Address: | 1113 Washington Rd Thomson, GA - 308247523 |
Business Phone Number: | 7065957825 |
Business Fax Number: | 7065951235 |
Mailing Address: | 3686 Wheeler Rd, AUGUSTA |
State: | GA |
Postal Code: | 309096520 |
Phone Number: | 7069226300 |
Fax Number: | 7069226303 |
NPI Enumeration Date: | 08/13/2015 |
NPI Last Update Date: | 08/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN199522 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |