Individual
SAMUEL K PRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1102 SMITH AVE, THOMASVILLE, GA 31792-5739
(229) 225-4335
(229) 225-4374
Mailing address
PO BOX 819, NEWTON, GA 39870-0819
(229) 224-4883
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW002428
GA
Other
Enumeration date
01/25/2008
Last updated
01/25/2008
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