Individual
PATRICE L SAMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
236 STOCKBRIDGE RD # B-1, JONESBORO, GA 30236-3629
(323) 241-2646
Mailing address
5486 MARTIN CT, ELLENWOOD, GA 30294-4602
(132) 324-1264
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
—
—
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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