Organization
LYMPHWORKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA CANNON MARTIN MSOT/L, CLT, CLWT (OWNER)
(770) 310-8100
Entity
Organization
Contact information
Practice address
145 VICTOR DR, BUFORD, GA 30518-2563
(770) 310-8100
(833) 760-2107
Mailing address
145 VICTOR DR, BUFORD, GA 30518-2563
(770) 310-8100
(833) 760-2107
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
251E00000X
Home Health Agency
—
—
261QH0100X
Health Service Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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