Individual
SAMANTHA TRUPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5670 PEACHTREE DUNWOODY RD STE 1000, ATLANTA, GA 30342-4790
(404) 255-1930
Mailing address
5670 PEACHTREE DUNWOODY RD STE 1000, ATLANTA, GA 30342-4790
(404) 255-1930
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
RN231316
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN231316
NP LICENSE
GA
Enumeration date
07/12/2022
Last updated
07/12/2022
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