Organization
SAMUEL E. PALMER, MD, PC
Active
Other names
Houston Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL E PALMER MD (OWNER)
(478) 988-1282
Entity
Organization
Contact information
Practice address
106 MORAN DRIVE, BONAIRE, GA 31005
(478) 988-1282
(478) 988-3120
Mailing address
106 MORAN DRIVE, BONAIRE, GA 31005-2948
(478) 988-1282
(478) 988-3120
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
029061
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000374382K
—
GA
05
—
092100603D
—
GA
Enumeration date
08/11/2006
Last updated
05/15/2009
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