Individual
SAMANTHA REIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41 PERIMETER CTR E STE 640, DUNWOODY, GA 30346-1903
(770) 871-3730
Mailing address
PO BOX 13289, DURHAM, NC 27709-3289
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN255532
GA
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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