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Individual

MR. SAM BELAKHLEF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D

Contact information

Practice address
5801 OLD DAWSON RD, ALBANY, GA 31721-9171
(229) 364-4169
Mailing address
5801 OLD DAWSON RD, ALBANY, GA 31721-9171
(229) 364-4169

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
14235658
GA

Other

Enumeration date
07/26/2013
Last updated
07/26/2013
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