Individual
RASHA AL SAMARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
738 OLD NORCROSS RD, LAWRENCEVILLE, GA 30046-4462
(470) 415-8320
Mailing address
2217 GRACEHAVEN WAY, LAWRENCEVILLE, GA 30043-4940
(770) 586-0310
(770) 586-0312
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
063592
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5315030251
CONTROLLED SUBSTANCE
MI
Enumeration date
07/24/2007
Last updated
07/29/2024
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