Individual
SAMANTHA HUDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1950 GLENN MITCHELL DR STE 102, VIRGINIA BEACH, VA 23456-0019
(757) 368-0437
Mailing address
6350 CENTER DR STE 200, NORFOLK, VA 23502-4107
(757) 905-5558
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110011217
VA
Other
Enumeration date
08/09/2025
Last updated
08/09/2025
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