Individual
VICTORIA R SAMUELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
625 COUNTRY DAY RD, GOLDSBORO NEUROLOGICAL SURGERY, GOLDSBORO, NC 27530-8888
(252) 731-4048
(252) 731-2402
Mailing address
PO BOX 751069, ECU PHYSICIANS, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
014997
CT
207T00000X
Neurological Surgery Physician
14997
SC
208600000X
Surgery Physician
Primary
2014-00571
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164492021
—
CT
05
—
1164492021
—
NC
05
—
149976
—
SC
01
—
185WF
BCBS
NC
Enumeration date
01/24/2006
Last updated
07/02/2014
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