MS. Samantha F Frederick, NP-C

NPI #1124614631 in Canton, Georgia

Provider Information

NPI Number
1124614631
Entity Type
Individual
Name
MS. Samantha F Frederick, NP-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
NP-C
Enumeration Date
Dec 18, 2020
Last Updated
Sep 30, 2021

Practice Location

Address
228 RIVERSTONE DR
City
Canton
State
Georgia
ZIP Code
30114-5256
Phone
(770) 479-1870

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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