Individual
DR. DAVID P SAMUELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
19 LESTER RD, STATESBORO, GA 30458-2119
(912) 662-6501
(912) 681-1012
Mailing address
19 LESTER RD, STATESBORO, GA 30458-2119
(912) 662-6501
(912) 681-1012
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
049521
GA
2084P0800X
Psychiatry Physician
OS14765
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000895177A
—
GA
Enumeration date
03/14/2007
Last updated
04/27/2022
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