Provider Demographics
NPI:1003220708
Name:HOOKS, SAMUEL GREGORY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:GREGORY
Last Name:HOOKS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10929 US HIGHWAY 301 S STE 111
Mailing Address - Street 2:
Mailing Address - City:STATESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30458-7774
Mailing Address - Country:US
Mailing Address - Phone:912-764-7839
Mailing Address - Fax:912-489-1519
Practice Address - Street 1:10929 US HIGHWAY 301 S STE 111
Practice Address - Street 2:
Practice Address - City:STATESBORO
Practice Address - State:GA
Practice Address - Zip Code:30458-7774
Practice Address - Country:US
Practice Address - Phone:912-764-7839
Practice Address - Fax:912-489-1519
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-20
Last Update Date:2014-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA021673183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist