Provider Demographics
NPI:1164861274
Name:TOJINO, SAMANTHA SHOEMAKER (FNP)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:SHOEMAKER
Last Name:TOJINO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3623 J DEWEY GRAY CIR STE 202
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909-6554
Mailing Address - Country:US
Mailing Address - Phone:706-922-7670
Mailing Address - Fax:706-922-7680
Practice Address - Street 1:610 PONDER PLACE DR
Practice Address - Street 2:
Practice Address - City:EVANS
Practice Address - State:GA
Practice Address - Zip Code:30809-3185
Practice Address - Country:US
Practice Address - Phone:706-707-2808
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-21
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC238441363LF0000X
GARN238441363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily