Individual
SAMUEL SOLOMON MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
710 CENTER ST, COLUMBUS, GA 31901-1527
(706) 571-1000
Mailing address
525 RIVERSIDE DR, LAGRANGE, GA 30240-9635
(678) 267-4982
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN268279
GA
Other
Enumeration date
04/10/2023
Last updated
09/25/2023
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