Individual
AMENA SAMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
120 SUNVALLEY DR, ALPHARETTA, GA 30004-4383
(770) 656-7743
Mailing address
120 SUNVALLEY DR, ALPHARETTA, GA 30004-4383
(770) 656-7743
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
067314
GA
207Q00000X
Family Medicine Physician
Primary
MD34472
AL
Other
Enumeration date
08/09/2010
Last updated
02/09/2023
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