Individual
LIZA SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2412 LEBANON PIKE, NASHVILLE, TN 37214-2413
(615) 647-3578
Mailing address
2705 OLD FORT PKWY STE F, MURFREESBORO, TN 37128-5154
(615) 565-1584
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
6256
TN
363AM0700X
Medical Physician Assistant
Primary
6256
TN
Other
Enumeration date
06/10/2024
Last updated
12/08/2025
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