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Roy Samuels

NPI 1942577341 · on the registry since 2011 · sole proprietor

Practice

Address
1385 Travers Creek Trl
Conyers, GA 30012
Phone
(718) 807-7058

Registry record

Primary taxonomy
Private Vehicle
347C00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-11-30

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