LISA A SAMPLES

AUSTELL, GA
NPI1720586365
Former NameLISA ASHLEY BUMPUS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner Pediatrics
(Licence: GA  RN224696)
Enumeration Date2018-01-29
Last Update Date2020-06-23
Business Address
MRS. LISA A SAMPLES CPNP-AC
3950 AUSTELL RD
AUSTELL, GA 30106-1121
Phone number: 470-732-5299
Mailing Address
MRS. LISA A SAMPLES CPNP-AC
4407 BLACK HILLS DR NW
ACWORTH, GA 30101-1422
Phone number: 678-591-7015
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