Individual provider · Type 1 NPI

Kathryn B. Samples, P.A.-C.

Surgical Physician Assistant · Carrollton, GA

NPI number 1386628790 Active

Practice location

157 Clinic Ave, Suite 302
Carrollton, GA 30117-4413

Call (770) 834-3336 Map

Fax (770) 832-2136

Mailing address

119 Ambulance Dr, Suite 202
Carrollton, GA 30117-3857

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X003055 (GA)

Surgical Physician Assistant: Definition to come...

26 other providers at this address

About NPI 1386628790

Kathryn B. Samples, P.A.-C.'s National Provider Identifier is 1386628790, issued on Nov 30, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Carrollton, GA. The record was last updated on Jan 27, 2016.