Individual
DR. MARY SAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
875 JOHNSON FY RD NE, SUITE 200, ATLANTA, GA 30342-1418
(404) 497-1020
(404) 252-4030
Mailing address
875 JOHNSON FY RD NE, SUITE 200, ATLANTA, GA 30342-1418
(404) 497-1020
(404) 252-4030
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
040536
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000944182B
—
GA
05
—
000944182C
—
GA
05
—
000944182D
—
GA
05
—
000944182E
—
GA
Enumeration date
03/12/2007
Last updated
04/26/2021
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