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Samuel Fenderson
NPI 1326370545 · on the registry since 2010 · sole proprietor
Practice
- Address
- 925 Main St # 300-07
Stone Mountain, GA 30083 - Phone
- (678) 799-2498
Registry record
- Primary taxonomy
- Surgical Physician Assistant
363AS0400X
- Also registered as
- Surgical Assistant
- Sex
- Male
- Record last updated
- 2018-03-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia