MR. SAMUEL FENDERSON
NPI 1326370545
Physician Assistant - Surgical in Stone Mountain, GA
About Mr. Samuel Fenderson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. SAMUEL FENDERSON (NPI 1326370545) is an individual surgical provider in Stone Mountain, Georgia and active in the NPI registry since February 2010.
NPPES Registry Identity
Specialties & Licenses 2
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Samuel Fenderson's NPI number?
The NPI number for Samuel Fenderson is 1326370545. It was assigned to this individual provider in the NPPES registry on February 12, 2010.
Where is Samuel Fenderson located?
Samuel Fenderson practices at 925 Main St # 300-07, Stone Mountain, GA 30083. The listed phone number is (678) 799-2498.
What is Samuel Fenderson's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
When was this NPI record last updated?
The NPPES record for Samuel Fenderson was last updated on March 1, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.
