Organization
WELL LIFE WITH SAM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA COGIL NP (NURSE PRACTITIONER/ OWNER)
(217) 202-5701
Entity
Organization
Contact information
Practice address
7935 HERON WAY, KING GEORGE, VA 22485-7391
(217) 202-5701
Mailing address
2003 PLANK RD # 1072, FREDERICKSBURG, VA 22401-5103
(217) 202-5701
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/04/2025
Last updated
03/04/2025
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