Individual
SAMANTHA LEE CLAXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3820 PLEASANT HILL RD STE 5, DULUTH, GA 30096-1429
(770) 476-9585
Mailing address
PO BOX 207173, DALLAS, TX 75320-7173
(636) 200-4393
(636) 527-0766
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
3744
MN
152W00000X
Optometrist
Primary
OPT003402
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/07/2021
Last updated
08/17/2022
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