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1720586365
LISA A SAMPLES
AUSTELL, GA
NPI
1720586365
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Former Name
LISA ASHLEY BUMPUS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: GA RN224696)
Enumeration Date
2018-01-29
Last Update Date
2020-06-23
Business Address
Mrs. LISA A SAMPLES CPNP-AC
3950 AUSTELL RD
AUSTELL, GA 30106-1121
Phone number: 470-732-5299
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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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