Kathryn B Samples, PA-C
Kathryn B Samples, PA-C is a Physician Assistant in Carrollton, Georgia. Qualified in 1997, 29 years ago. Practices with Tanner Medical Group Inc, a 120-clinician group and accepts Medicare assignment. Licensed in Georgia.
- Years since qualifying
- 29
- Licensed in
- GA
- In the registry since
- 2005
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
157 Clinic Ave Ste 302Carrollton, GA 30117-4413
Phone: (770) 834-3336
Fax: (770) 832-2136
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence 003055 (GA) |
|---|
Record details
| NPI number | 1386628790 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | November 30, 2005 |
| Last updated in NPPES | January 27, 2016 |
| Mailing address | 119 Ambulance Dr, Suite 202, Carrollton, GA 30117-3857 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 1997 (29 years in practice) |
| Group practice | Tanner Medical Group Inc — 120 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 5 on file with Medicare |
Other providers in Carrollton
-
Payal Patel
157 Clinic Ave Ste 302, Carrollton, GA 30117-4454 · (770) 834-3336