Sam Select

Specialty details in registry · Mcdonough, GA

Call (678) 993-3321 Directions

At a glance

1488 Tether Ln, Mcdonough, GA 30253-9210

NPPES record updated May 27, 2024. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

1488 Tether Ln
Mcdonough, GA 30253-9210

Professional details: NPI, taxonomy & registry record

NPI1356181572

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 343900000X
Enumeration date: May 27, 2024
Record updated: May 27, 2024

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

343900000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1488 Tether Ln
Mcdonough, GA 30253-9210

Phone: (678) 993-3321

Mailing address

1488 TETHER LN

MCDONOUGH, GA 302539210

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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