Individual
KIMBERLY MELISSA SAMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2386 CLOWER ST STE 102, SNELLVILLE, GA 30078-6134
(770) 972-2790
Mailing address
PO BOX 497, SNELLVILLE, GA 30078-0497
(770) 714-6451
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
224P00000X
Prosthetist
—
—
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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