Individual provider · Type 1 NPI
Samuel Abdias Louissaint
Gerontology Nurse Practitioner · Mcdonough, GA
NPI number
1225600745
Active
Practice location
821 Pavilion Ct Ste A
Mcdonough, GA 30253-6790
Mailing address
403 Paulownia Cir
Mcdonough, GA 30253-3092
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN2324549 (MA) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | RN311141 (GA) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1225600745
Samuel Abdias Louissaint's National Provider Identifier is 1225600745, issued on Jul 14, 2021. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Mcdonough, GA. The record was last updated on Dec 29, 2024.