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Benjamin Samardak
NPI 1801565718 · on the registry since 2021 · sole proprietor
Practice
- Address
- 3455 Lawrenceville Hwy # 30044
Lawrenceville, GA 30044 - Phone
- (770) 921-1115
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-01-24
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