Individual
SAMANTHA LEIGH WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300 TOWER RD NE STE 200, MARIETTA, GA 30060-9403
(704) 430-7587
Mailing address
2904 PROVIDENCE TRAIL LN, CHARLOTTE, NC 28270-0695
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1173259
—
Other
Enumeration date
09/27/2019
Last updated
01/13/2025
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