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Samuel Chase
NPI 1598413320 · on the registry since 2022 · sole proprietor
Practice
- Address
- 5006 Charlotte Ct Se
Smyrna, GA 30082 - Phone
- (678) 882-2395
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-03-10
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