Samuels, Winston L

Samuels, Winston L is an sole proprietor health care provider with primary practice located at 3725 Zoar Rd , Snellville GA 30039-6134. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Samuels, Winston L can be contacted via phone (770) 979-1818.

Contact Information

Primary practice address
3725 Zoar Rd Snellville GA 30039-6134
Phone: (770) 979-1818
Fax: (770) 736-7134
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 060867 Georgia

Profile Details

NPI number 1306069380
LBN Legal business name Samuels, Winston L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2007
Last updated Oct 13th, 2020 - 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 1306069380 NPPES
Georgia MEDICAID 492804824A

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