Most Relevant Information
Provider Data
| NPI Number: | 1003501743 |
| Provider Name: | SAMUEL SOLOMON MARKS |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | RN268279 |
Most Important Dates
| Enumeration Date: | 04/10/2023 |
| Last Updated: | 09/25/2023 |
Provider Practice Location
710 CENTER ST
COLUMBUS
GA
319011527
Practice Location Phone/Fax
| Phone: | 7065711000 |
| Fax: |
Provider Mailing Location
525 RIVERSIDE DR
LAGRANGE
GA
302409635
Provider Mailing Phone/Fax
| Phone: | 6782674982 |
| Fax: |