Individual
BRIAN DAVID SAMPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.DIV.
Contact information
Practice address
1400 CRANE ST SW, ROME, GA 30161-6333
(706) 331-6177
Mailing address
1400 CRANE ST SW, ROME, GA 30161-6333
(706) 331-6177
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/11/2018
Last updated
01/11/2018
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