Willliam Samuel

NPI 1730339706 · on the registry since 2008

Practice

Address: 1011 S Railroad St
Phenix City, AL 36867
Phone: (334) 291-6363
Fax: (334) 291-6399
Organisation at this address: Teens Empowerment Awareness With Resolutions, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 101Y00000X
101Y00000X
Licence states on file: AL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-09-25

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 Alabama