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

Samuel Edusa, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1710664198

Samuel Edusa, MD is a Student in an Organized Health Care Education/Training Program in Athens, Georgia. Registered with an NPI since 2023.

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

1270 Prince Ave Ste 102
Athens, GA 30606-2700
Phone: (706) 475-7055
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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

Record details

NPI number1710664198
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 28, 2023
Last updated in NPPESJune 28, 2023
Certification dateJune 28, 2023
Mailing address1270 Prince Ave Ste 102, Athens, GA 30606-2700

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