Individual
DR. MINI A SAMUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.B.B.S
Contact information
Practice address
1150 15TH STREET, AUBGUSTA, GA 30912
(706) 721-2423
Mailing address
3565 STEVENS WAY, MARTINEZ, GA 30907
(706) 364-3772
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
000013497
GA
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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