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Contact Information

DERICA N SAMS, MD
3925 HARRISON RD STE 100
LOGANVILLE, GA30052-5898
 Phone: 770-274-4222
 Fax: 770-284-3187
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Gastroenterology

2080P0206X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for DERICA N SAMS · (Female)

NPI # 1013443480
Status Active
Credentials MD
Entity Individual
Enumeration date 05/04/2017
Last updated 01/09/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • GA License # 97229
  • NC License # 227179
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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