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1124614631
SAMANTHA F FREDERICK
CANTON, GA
NPI
1124614631
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA RN203567)
Enumeration Date
2020-12-18
Last Update Date
2021-09-30
Business Address
Ms. SAMANTHA F FREDERICK NP-C
228 RIVERSTONE DR
CANTON, GA 30114-5256
Phone number: 770-479-1870
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Mailing Address
Ms. SAMANTHA F FREDERICK NP-C
1835 SAVOY DR STE 300
ATLANTA, GA 30341-1071
Phone number: 678-288-9555
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