Search › Georgia › 101Y00000X
Brian Samples, M.DIV
NPI 1891203824 · on the registry since 2018
Practice
- Address
- 1400 Crane St Sw
Rome, GA 30161 - Phone
- (706) 331-6177
- Organisation at this address
- Primary Health Care Center Of Dade, Inc.
Global Impact International, Inc. D/B/A Lice Clinics Of America - RomeInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Sex
- Male
- Record last updated
- 2018-01-11
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