Individual
SAMANTHA LEE ANN PRIVETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
242 KING AVENUE, SUITE 210, ATHENS, GA 30606
(706) 475-1700
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN275926
GA
363LG0600X
Gerontology Nurse Practitioner
RN275926
GA
Other
Enumeration date
09/17/2018
Last updated
01/02/2025
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