Samuel Kissiedu
Samuel Kissiedu is a Physician Assistant in Chamblee, Georgia. Qualified in 2024, 2 years ago. Registered with an NPI since 2023.
- Years since qualifying
- 2
- In the registry since
- 2023
Practice location Address checks out
6102 Jefferson Cir SChamblee, GA 30341-2661
Phone: (321) 274-5712
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1235917154 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 20, 2023 |
| Last updated in NPPES | September 20, 2023 |
| Certification date | September 20, 2023 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Accepts Medicare assignment | Not indicated |
Other providers in Chamblee
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MS. Lindsey Shea Clark, PA-C
5438 Peachtree Blvd, Chamblee, GA 30341-2232 · (470) 816-0988
-
Kathleen Davis
3182 Shallowford Rd NE, Chamblee, GA 30341-3640 · (770) 457-5758
-
Caren Leslie Kaplan, PA-C
5080 Peachtree Blvd Ste 100, Chamblee, GA 30341-2877 · (404) 785-5437