Individual
DR. MICHAEL ANTHONY SAMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
129 MAIN ST, BOGART, GA 30622-1566
(770) 725-7420
Mailing address
165 FAIRLANE DR, ATHENS, GA 30607-1339
(601) 818-4894
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
102290
GA
207Q00000X
Family Medicine Physician
31787
MS
208M00000X
Hospitalist Physician
31787
MS
Other
Enumeration date
09/02/2021
Last updated
11/01/2024
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