Individual
NO NAME GIVEN SAMIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
901 18TH ST E, TIFTON, GA 31794-3648
(229) 382-7120
(229) 353-7779
Mailing address
PO BOX 2650, TIFTON, GA 31793-2650
(229) 402-0425
(229) 391-4059
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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