Individual
SAMANTHA MCALLISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
Mailing address
815 WYNTHROPE COVE, RIVERDALE, GA 30274
(843) 229-0645
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN241320
GA
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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