Individual
SAM E GILCHRIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
1405 CLIFTON RD NE, CARDIAC SERVICE LINE, ATLANTA, GA 30322-1060
(405) 365-6533
Mailing address
1107 GABLES DR NE, BROOKHAVEN, GA 30319-4190
(405) 365-6533
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1991
OK
363A00000X
Physician Assistant
Primary
7265
GA
Other
Enumeration date
01/18/2011
Last updated
04/18/2016
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