Individual
SAMUEL BENEDICT KONKOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0816
(434) 924-1931
(434) 243-5770
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101275448
VA
208M00000X
Hospitalist Physician
Primary
0101275448
VA
Other
Enumeration date
03/27/2019
Last updated
09/13/2023
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