Individual
SAMANTHA LEE BOLANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
207 OLD LEXINGTON RD, THOMASVILLE, NC 27360-3428
(336) 476-2450
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 774-3740
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5005808
NC
363LF0000X
Family Nurse Practitioner
5005808
NC
Other
Enumeration date
09/11/2012
Last updated
09/09/2025
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