Individual
MRS. SAMANTHA PAIGE SUMMERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1000 TOWNE CENTER BLVD STE 7001, POOLER, GA 31322-4052
(912) 303-4200
(912) 790-2701
Mailing address
1000 TOWNE CENTER BLVD STE 7001, POOLER, GA 31322-4052
(912) 303-4200
(912) 790-2701
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0000
GA
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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