Individual
SAMANTHA MARIE BARRACLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1810 STADIUM DR STE 240, PHENIX CITY, AL 36867-3179
(334) 297-4883
Mailing address
104 WOODMONT BLVD STE 500, NASHVILLE, TN 37205-2245
(888) 802-9885
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13521
GA
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/02/2019
Last updated
02/03/2026
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