Individual
SAMANTHA HAMMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 CLINIC AVE STE 101, CARROLLTON, GA 30117-4402
(770) 834-0873
Mailing address
150 CLINIC AVENUE SUITE 101, CARROLLTON, GA 30117
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN170639
GA
Other
Enumeration date
01/28/2010
Last updated
01/28/2010
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