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Individual
MRS. SAMANTHA JOELLE RUSHTON
Active
Individual
MRS. SAMANTHA JOELLE RUSHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001004756
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295154805
DOCTORS DIRECT
NC
05
—
1295154805
—
NC
01
—
13356163
PHCS/MULTIPLAN
NC
01
—
1461976
WELLPATH
NC
01
—
186WS
BCBS OF NC
NC
01
—
251128
MEDCOST, LLC
NC
01
—
4302372
COVENTRY NATIONAL PPO
NC
01
—
4341301
UNITED HEALTHCARE
NC
01
—
4741883
AETNA
NC
01
—
5678738
CIGNA/GREATWEST
NC
01
—
FH4001720
FIRST CAROLINA CARE
NC
Enumeration date
04/10/2014
Last updated
04/20/2016
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