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Individual

DR. SAMUEL FAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(318) 680-6607
Mailing address
PO BOX 31294, CLARKSVILLE, TN 37040-0022
(318) 680-6607

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
12430R
LA
2084P0800X
Psychiatry Physician
34678
CT

Other

Enumeration date
08/30/2006
Last updated
04/24/2025
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