Individual
SHABNAM SAMSUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1100 JOHNSON FERRY RD, BLDG 2, UNIT 593, ATLANTA, GA 30342-1733
(404) 255-9096
Mailing address
845 CONSTELLATION DR, DECATUR, GA 30033-2814
(404) 642-5728
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN226046
GA
Other
Enumeration date
07/26/2016
Last updated
10/08/2025
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