Provider Demographics
NPI:1396406088
Name:BROWN-HIGHTOWER, SAMANTHA (CNA; MA)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:
Last Name:BROWN-HIGHTOWER
Suffix:
Gender:F
Credentials:CNA; MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3487 HUNTERS PACE DR
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30038-2896
Mailing Address - Country:US
Mailing Address - Phone:800-860-6902
Mailing Address - Fax:
Practice Address - Street 1:3487 HUNTERS PACE DR
Practice Address - Street 2:
Practice Address - City:LITHONIA
Practice Address - State:GA
Practice Address - Zip Code:30038-2896
Practice Address - Country:US
Practice Address - Phone:800-860-6902
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-04
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory