Individual
SAMUEL E. PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
106 MORAN DRIVE, BONAIRE, GA 31005
(478) 988-1282
(478) 988-3120
Mailing address
106 MORAN DRIVE, BONAIRE, GA 31005
(478) 988-1282
(478) 988-3120
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
029061
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000374382K
—
GA
05
—
00374382I OR E
—
GA
Enumeration date
05/06/2006
Last updated
03/27/2025
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