Individual
DR. SAMUEL L PRESTON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
500 JOEL LOOP, FT. CAMPBELL, KY 42223
(270) 798-8042
Mailing address
6900 GEORGIA AVE NW, WALTER REED AMC BLG. 6, 3RD FLOOR, ADULT BHC, WASHINGTON, DC 20307-0003
(202) 782-6061
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0102201883
VA
2084P0800X
Psychiatry Physician
Primary
0102201883
VA
Other
Enumeration date
06/06/2008
Last updated
01/05/2024
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