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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SAMUEL KISSIEDU

Active

SAMUEL KISSIEDU is a Physician Assistant healthcare provider located in CHAMBLEE, Georgia. NPI 1235917154 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · CHAMBLEE, GA

Registration Details

NPI Number
1235917154
Provider Type
Individual
Gender
Male
NPI Issued
Sep 20, 2023 (2.882343633359 yrs)
Last Updated
Sep 20, 2023

Practice Information

Address
6102 JEFFERSON CIR S
CHAMBLEE, GA, 303412661
Browse GA providers · Browse ZIP 30341
Phone
3212745712
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in CHAMBLEE, GA

Name Credential NPI
MS. LINDSEY SHEA CLARK PA-C 1295108546
CAREN LESLIE KAPLAN PA-C 1447757711
KATHLEEN DAVIS 1982244364
AMANDA L VORKO PA-C 1861165623
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.