Individual
SAMANTHA KUEBLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1220 GEORGE C WILSON DR, AUGUSTA, GA 30909-4501
(762) 716-1012
(762) 716-1013
Mailing address
3696 WHEELER RD, AUGUSTA, GA 30909-6520
(706) 736-1830
(706) 650-7553
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/20/2023
Last updated
11/14/2024
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