| Samuel Chase, | |
|
5006 Charlotte Ct Se, Smyrna, GA 30082-4800 | |
| (678) 882-2395 | |
| Not Available |
| Full Name | Samuel Chase |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 5006 Charlotte Ct Se, Smyrna, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598413320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MT013863 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Chase, 5006 Charlotte Ct Se, Smyrna, GA 30082-4800 Ph: (678) 882-2395 | Samuel Chase, 5006 Charlotte Ct Se, Smyrna, GA 30082-4800 Ph: (678) 882-2395 |
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