Organization
FAMILY HEALTH ASSOCIATES SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARLA ELAINE SAMSON MD (OWNER)
(618) 476-3373
Entity
Organization
Contact information
Practice address
60 REGENCY PL, MILLSTADT, IL 62260-2210
(618) 476-3373
(618) 476-1890
Mailing address
60 REGENCY PL, MILLSTADT, IL 62260-2210
(618) 476-3373
(618) 476-1890
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036062094
IL
Other
Enumeration date
02/17/2010
Last updated
02/17/2010
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