Individual provider · NPI-1
Samuel Nightingale, Surgical First Asst.
Spec/Tech, Health Info · Atlanta, GA
NPI number1053505560
StatusActive
Last updated in NPPESAug 29, 2007
Details
- NPI
- 1053505560
- Entity type
- Individual (NPI-1)
- Name
- Mr. Samuel Nightingale
- Credential
- Surgical First Asst.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 29, 2007
- Last updated
- Aug 29, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246Y00000X | Spec/Tech, Health Info | – | – | Yes |
Other names
- Samuel Nightingale (Professional Name)
Practice location
2221 Peachtree Rd NeSuite D-312
Atlanta, GA 30309-1148
Phone 404-468-7781 · Fax 770-785-9882
Mailing address
2221 Peachtree Rd NeSuite D-312
Atlanta, GA 30309-1148
Phone 404-468-7781 · Fax 770-785-9882
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