Individual
SAMANTHA STODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1240 EAGLES LANDING PKWY STE 280, STOCKBRIDGE, GA 30281-5173
(770) 507-5055
Mailing address
2727 PACES FERRY RD SE STE 1-100, ATLANTA, GA 30339-6150
(470) 271-3418
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN102555
GA
Other
Enumeration date
06/09/2006
Last updated
04/22/2019
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