Individual
SAMUEL ABDIAS LOUISSAINT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
821 PAVILION CT STE A, MCDONOUGH, GA 30253-6790
(770) 321-1773
Mailing address
403 PAULOWNIA CIR, MCDONOUGH, GA 30253-3092
(857) 236-5600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2324549
MA
363LG0600X
Gerontology Nurse Practitioner
Primary
RN311141
GA
Other
Enumeration date
07/14/2021
Last updated
12/29/2024
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