Organization
NEW HORIZONS FAMILY CLINIC
Active
Other names
Faith Healthcare Services, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELLA SAMUELS DNP (FAMILY NURSE PRACTITIONER)
(770) 248-1637
Entity
Organization
Contact information
Practice address
3725 ZOAR RD, SNELLVILLE, GA 30039-6134
(770) 248-1637
(770) 248-1638
Mailing address
3725 ZOAR RD, SNELLVILLE, GA 30039-6134
(770) 248-1637
(770) 248-1638
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
133706NP
GA
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811143589
MEDICARE GROUP NPI
GA
01
—
511G700793
MEDICARE GROUP PTAN
—
05
—
844105153A
—
GA
Enumeration date
08/13/2008
Last updated
12/18/2018
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