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Individual
MS. SAMANTHA RAE SHARTLE
Active
Individual
MS. SAMANTHA RAE SHARTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-04524
NC
363A00000X
Physician Assistant
195581
NC
Other
Enumeration date
10/02/2013
Last updated
05/06/2021
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