NPI 1770430217

Octavis Sams

Practitioner Rehabilitation Counselor Atlanta, GA

Practice location

Address: 1701 Hardee Ave SW, Atlanta, GA 30310-5110
Phone: (404) 312-1264

Registered specialties

Rehabilitation Counselor Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225C00000X

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Registry record

NPI: 1770430217
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Mar 2026
Record last updated: 13 Mar 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.