Search › Georgia › 163W00000X
Samantha Leake
NPI 1588244404 · on the registry since 2021 · sole proprietor
Practice
- Address
- 313 Lynnwood Dr
Woodstock, GA 30188 - Phone
- (770) 596-1301
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-04-13
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