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1750163341
SAMANTHA UPDEGROVE
GAINESVILLE, GA
NPI
1750163341
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367H00000X Anesthesiologist Assistant
(Licence: GA 11912)
Enumeration Date
2023-10-18
Last Update Date
2023-10-18
Business Address
SAMANTHA UPDEGROVE CAA
743 SPRING ST NE
GAINESVILLE, GA 30501-3899
Phone number: 770-532-7179
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Mailing Address
SAMANTHA UPDEGROVE CAA
1488 JESSE JEWELL PKWY SE STE 201
GAINESVILLE, GA 30501-3804
Phone number: 770-532-7179
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