Search › Georgia › 101YP2500X
Samantha Thomaston
NPI 1871116459 · on the registry since 2020 · sole proprietor
Practice
- Address
- 111 Holleys Grove Dr
Lagrange, GA 30240 - Phone
- (706) 812-8764
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-05-18
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