Mr. Samuel Fenderson
Mr. Samuel Fenderson is a Surgical Assistant in Stone Mountain, Georgia. Practices as a sole proprietor. Registered with an NPI since 2010.
- In the registry since
- 2010
- Specialties on file
- 2
Practice location Address checks out
925 Main St # 300-07Stone Mountain, GA 30083-3098
Phone: (678) 799-2498
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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 |
|---|---|
| Surgical Assistant | Taxonomy 246ZC0007X |
Record details
| NPI number | 1326370545 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 12, 2010 |
| Last updated in NPPES | March 1, 2018 |
Other providers in Stone Mountain
-
Eastside Surgical Assistants LLC
925 Main St Ste 300-07, Stone Mountain, GA 30083-3098 · (678) 799-2498
-
Tuan Minh Khong, SA-C
6301 Southland Rdg, Stone Mountain, GA 30087 · (678) 756-4541
-
Erica Nannette McKnight, CSFA
6953 Stone Breeze Dr, Stone Mountain, GA 30087-4525 · (678) 463-5140
-
MS. Robin A Melroy, CST, CFA
2231 Deer Ridge Dr, Stone Mountain, GA 30087-1129 · (404) 932-0986
-
Kimberly Simms
5081 Conestoga Ct, Stone Mountain, GA 30087-4053 · (404) 987-5968