| Samantha B Gold Inc | |
|
4675 N Shallowford Rd Dunwoody GA 30338-6309 | |
| (678) 555-3735 | |
| Not Available |
| Full Name | Samantha B Gold Inc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4675 N Shallowford Rd, Dunwoody, Georgia |
| Authorized Official Name and Position | Samantha Gold (PRACTICE OWNER) |
| Authorized Official Contact | 6785553735 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha B Gold Inc 4675 N Shallowford Rd Dunwoody GA 30338-6309 Ph: (678) 555-3735 | Samantha B Gold Inc 4675 N Shallowford Rd Dunwoody GA 30338-6309 Ph: (678) 555-3735 |
| NPI Number | 1033093810 |
|---|---|
| Provider Enumeration Date | 08/04/2025 |
| Last Update Date | 08/04/2025 |
| Certification Date | 08/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033093810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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