Kathryn B Samples in Carrollton - Surgical
Kathryn B Samples - NPI 1386628790
Kathryn B Samples is a Surgical in Carrollton, Georgia. Kathryn B Samples practices all healthcare services and medical treatments related to Surgical. The NPI Number for Kathryn B Samples is 1386628790. The last update date is 2016-01-27.
Kathryn B Samples's current location address is 119 Ambulance Dr, Carrollton, Georgia. You can contact this provider via phone number 7708388710. The mailing address for Kathryn B Samples is 119 Ambulance Dr, Carrollton, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathryn B Samples |
|---|---|
| Address | 119 Ambulance Dr, Carrollton, Georgia |
| Phone Number | 7708388710 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.A.-C. |
NPI Number Detail
| NPI Number | 1386628790 |
|---|---|
| Provider Enumeration Date | 2005-11-30 |
| Last Updated Date | 2016-01-27 |
Provider Mailing Address Detail
| Address | 119 Ambulance Dr |
|---|---|
| City | Carrollton |
| State | Georgia (GA) |
| Post Code | 301173857 |
| Phone Number | 7708388710 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | 3055 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100000202A | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kathryn B Samples by the Centers for Medicare & Medicaid Services (CMS)?
The Kathryn B Samples has been assigned the NPI (National Provider Identifier) 1386628790. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Kathryn B Samples is physically located?
The Kathryn B Samples is situated at the following address: 119 Ambulance Dr, Carrollton, GA 301173857.
What is Kathryn B Samples's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kathryn B Samples is Surgical, and the corresponding taxonomy classification code for this specialized field is 363As0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1386628790 to Kathryn B Samples?
The Centers for Medicare & Medicaid Services originally issued the 1386628790 to Kathryn B Samples on 2005-11-30.
As of what date was the information regarding Kathryn B Samples, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kathryn B Samples, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-01-27.