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1922831593
SAMANTHA GRAHAM OTIS
AUGUSTA, GA
NPI
1922831593
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN260847)
Enumeration Date
2024-08-20
Last Update Date
2024-08-20
Business Address
SAMANTHA GRAHAM OTIS FNP-C
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 706-721-2273
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Mailing Address
SAMANTHA GRAHAM OTIS FNP-C
1009 GLENHAVEN DR
EVANS, GA 30809-0420
Phone number: 706-339-1570
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