Ledbetter, Samantha Brooke

Ledbetter, Samantha Brooke is an individual health care provider with primary practice located at 3575 Braselton Hwy , Dacula GA 30019. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Allopathic & Osteopathic Physicians / Internal Medicine. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Ledbetter, Samantha Brooke can be contacted via phone (770) 848-5300.

Contact Information

Primary practice address
3575 Braselton Hwy Dacula GA 30019
Phone: (770) 848-5300
Fax: (770) 848-5301
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN230690 Georgia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X RN230690 Georgia

Profile Details

NPI number 1841794757
LBN Legal business name Ledbetter, Samantha Brooke
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2018
Last updated Jun 11th, 2021 - about 5 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 1841794757 NPPES
Georgia MEDICAID RN230690

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