| NPI | 1528899135 |
|---|---|
| Doing Business As | SAMARITAN CLINIC |
| Entity Type | Organization |
| Authorized Contact | NEDRA S FORTSON Executive Director 770-330-8496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2024-08-13 |
| Last Update Date | 2024-08-13 |