Bellam, Samara S

Bellam, Samara S is an sole proprietor health care provider with primary practice located at 1103 Forest Pkwy , Forest Park GA 30297-2308. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Bellam, Samara S can be contacted via phone (404) 366-5544.

Contact Information

Primary practice address
1103 Forest Pkwy Forest Park GA 30297-2308
Phone: (404) 366-5544
Fax: (404) 366-5623
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 022719 Georgia

Profile Details

NPI number 1306866165
LBN Legal business name Bellam, Samara S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306866165 NPPES
Georgia Other 0406541 UNITED HEALTH CARE
Georgia Other 303918 UNITED HEALTH CARE
Georgia Other 4534 UNITED HEALTH CARE
Georgia Other 52235452 UNITED HEALTH CARE
Georgia MEDICAID 00229413-A UNITED HEALTH CARE
Georgia Other 5580082 UNITED HEALTH CARE

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