Individual
WALTER A SAMS IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 TRINITY PL, ATHENS, GA 30607-2112
(706) 549-9993
Mailing address
105 TRINITY PL, ATHENS, GA 30607-2112
(706) 549-9993
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
060500
GA
390200000X
Student in an Organized Health Care Education/Training Program
0116017491
VA
Other
Enumeration date
05/02/2007
Last updated
06/14/2021
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