Individual
SAMUEL JOSEPH WATMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2301 NEWNAN CROSSING BLVD E STE 100, NEWNAN, GA 30265-2576
(678) 633-6600
(678) 633-6610
Mailing address
2301 NEWNAN CROSSING BLVD E STE 100, NEWNAN, GA 30265-2576
(678) 633-6600
(678) 633-6610
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11027
GA
Other
Enumeration date
04/18/2022
Last updated
06/06/2022
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