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Samuel S Fleming

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NPI Number Detailed Information

Provider Information:

Name: Samuel S Fleming
Gender: M
Provider License Number If Given: 38229

NPI Information:

NPI: 1972506996
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/23/2005

Last Update Date: 12/5/2013

Provider Business Mailing Address:

Address: 300 TOWER RD NE STE 200
Marietta, GA 30060
Phone Number: 7704275717
Fax Number: 7705146744

Provider Business Practice Location Address:

Address: 300 TOWER RD NE STE 200
Marietta, GA 30060
Phone Number: 7704275717
Fax Number: 7705146744

Provider Taxonomy:

Primary: 207X00000X
Secondary (if any): 207XX0004X
State: GA

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