Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samantha Larson, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114629607

Samantha Larson, MD is a Student in an Organized Health Care Education/Training Program in Augusta, Georgia. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1120 15th St
Augusta, GA 30912-0004
Phone: (706) 721-6597
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 197399 (CA)

Record details

NPI number1114629607
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 20, 2023
Last updated in NPPESJune 11, 2026
Certification dateJune 11, 2026
Mailing address1120 15th St, Augusta, GA 30912-0004

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