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Individual

DR. SAMANTHA LEE ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
9 DUNWOODY PARK, SUITE #108, ATLANTA, GA 30338-7407
(770) 399-5055
(770) 399-9638
Mailing address
9 DUNWOODY PARK, SUITE #108, ATLANTA, GA 30338-7407
(770) 399-5055
(770) 399-9638

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
49158
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00906914B
GA
Enumeration date
08/20/2006
Last updated
07/08/2007
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