Individual
MRS. SAMANTHA DECAMP BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAA
Contact information
Practice address
1968 PEACHTREE RD., NW, ATLANTA, GA 30309-1281
(404) 351-7145
(404) 351-7121
Mailing address
PO BOX 551420, FORT LAUDERDALE, FL 33355-1420
(800) 243-3839
(855) 851-4405
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
006199
GA
367H00000X
Anesthesiologist Assistant
Primary
6199
GA
367H00000X
Anesthesiologist Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003113372A
—
GA
Enumeration date
07/07/2011
Last updated
04/26/2023
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