Individual
DR. SAMANTHA LIANE GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
900 TOWNE LAKE PKWY STE 210, WOODSTOCK, GA 30189-1603
(770) 592-2300
(770) 592-2040
Mailing address
900 TOWNE LAKE PKWY STE 210, WOODSTOCK, GA 30189-1603
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
100669
GA
Other
Enumeration date
03/26/2020
Last updated
10/15/2024
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