Organization
DPS HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID SAMUELS DO (OWNER)
(912) 662-6501
Entity
Organization
Contact information
Practice address
19 COACH LEE HILL BLVD, STATESBORO, GA 30458-4700
(912) 662-6501
(912) 681-1012
Mailing address
19 COACH LEE HILL BOULEVARD, STATESBORO, GA 30458-2119
(912) 662-6501
(912) 681-1012
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003169430A
—
GA
Enumeration date
09/09/2015
Last updated
09/22/2022
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