Renee Samuels, DDS

NPI 1740326438 · on the registry since 2007

Practice

Address: 5370 Campbellton Fairburn Road
Suite 130
Fairburn, GA 30213
Phone: (770) 964-0494
Fax: (770) 964-0468
Organisation at this address: Publix Super Markets Inc
Jackson Family Eye Care, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 19

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2008-05-05

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