Individual
DR. SAMUEL NATHANIEL MCALLISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5745 LAWRENCEVILLE HWY, TUCKER, GA 30084-1919
(770) 717-5010
(770) 717-9831
Mailing address
5745 LAWRENCEVILLE HWY, TUCKER, GA 30084-1919
(770) 717-5010
(770) 717-9831
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
Primary
029210
GA
Other
Enumeration date
11/03/2012
Last updated
11/03/2012
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