Individual
SAMUEL O'GARRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA STUDENT
Contact information
Practice address
6600 VAN AALST BLVD, FORT BENNING, GA 31905-2102
(762) 408-2605
Mailing address
5295 RIVERCHASE DR APT 815, PHENIX CITY, AL 36867-7512
(205) 240-6105
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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