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Individual

SAMUEL E WEBSTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
980 JOHNSON FERRY RD NE, SUITE 250, ATLANTA, GA 30342-1626
(404) 252-9140
Mailing address
980 JOHNSON FERRY RD NE, SUITE 250, ATLANTA, GA 30342-1626
(404) 252-9140

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
020497
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020497
LICENSE
GA
Enumeration date
10/20/2006
Last updated
07/08/2007
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