SearchGeorgia104100000X

Samia Coaxum, MSW

NPI 1497486898 · on the registry since 2022 · sole proprietor

Practice

Address
3915 Brookhollow Dr
Douglasville, GA 30135
Phone
(917) 304-0489

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-06-17

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