Individual
MRS. SAMANTHA L. FLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1330 BOILING SPRINGS RD STE 1600, SPARTANBURG, SC 29303-4219
(864) 582-6396
(864) 582-1608
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2935
SC
363AS0400X
Surgical Physician Assistant
2935
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3524PA
—
SC
01
—
SCC3378510
MEDICARE
SC
01
—
SCC3379068
MEDICARE
SC
Enumeration date
02/11/2018
Last updated
09/19/2023
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