Individual
SAMUEL ADAMS LEE I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3400 OLD MILTON PKWY STE C270, ALPHARETTA, GA 30005
(770) 442-1911
Mailing address
315 W BENSON ST, DECATUR, GA 30030-4313
(415) 271-7057
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
8624
GA
Other
Enumeration date
02/27/2018
Last updated
01/03/2019
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