Individual
DR. CHERYL MARLEISE SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4500 HUGH HOWELL RD STE 640, TUCKER, GA 30084-4720
(470) 569-5943
(470) 359-4126
Mailing address
PO BOX 2648, TUCKER, GA 30085-2648
(404) 784-2090
(470) 359-4126
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
134443
GA
Other
Enumeration date
07/24/2020
Last updated
05/06/2025
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