Individual
DR. SUHAS JOE SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2720 QUIKTRIP WAY, ELLENWOOD, GA 30294-3504
(470) 582-5698
Mailing address
4705 S 129TH EAST AVE, TULSA, OK 74134-7005
(918) 615-7310
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
072465
GA
Other
Enumeration date
04/29/2011
Last updated
01/19/2023
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