Individual
ROBERT CHARLES SAMAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
4725 MOBILE HWY, MONTGOMERY, AL 36108-5126
(334) 281-3665
Mailing address
4725 MOBILE HWY, MONTGOMERY, AL 36108-5126
(334) 281-3665
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
1-104293
AL
Other
Enumeration date
10/28/2010
Last updated
10/28/2010
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