Individual
SAMARA PRESCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3110 CLIFTON SPRINGS RD, DECATUR, GA 30034-4600
(404) 243-9500
Mailing address
3110 CLIFTON SPRINGS RD, DECATUR, GA 30034-4600
(404) 243-9500
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN099642
GA
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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