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Individual
DR. SAMANTHA DE GANNES
Active
Individual
DR. SAMANTHA DE GANNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
Primary
35.150995
OH
2084N0400X
Neurology Physician
BP10072589
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q116817
—
TN
Enumeration date
05/05/2020
Last updated
08/31/2026
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