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Individual

JONMICHAEL SAMSEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2300 W STONE DR, KINGSPORT, TN 37660-2360
(423) 246-4961
(423) 245-3136
Mailing address
2300 W STONE DR, KINGSPORT, TN 37660-2360
(423) 246-4961
(423) 245-3136

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
6253
TN
208D00000X
General Practice Physician
0102207529
VA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/23/2021
Last updated
08/01/2025
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