Individual
SAMANTHA GOLDSTEIN BETANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1365 CLIFTON ROAD, NE, SUITE TEC-A 4330, ATLANTA, GA 30322
(404) 778-6918
Mailing address
1365 CLIFTON ROAD, NE, SUITE TEC-A 4330, ATLANTA, GA 30322
(404) 778-0801
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
81056
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487049136
—
NY
Enumeration date
03/31/2015
Last updated
06/23/2025
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