SAMANTHA ALICE WARDAK

SNELLVILLE, GA
NPI1942866926
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2019-05-15
Last Update Date2020-11-24
Business Address
SAMANTHA ALICE WARDAK
1700 MEDICAL WAY
SNELLVILLE, GA 30078-2195
Phone number: 770-979-0200
Mailing Address
SAMANTHA ALICE WARDAK
17819 E WHEELER LAKE LN
LAKEWOOD, WI 54138-9540
Phone number: 920-382-0299
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