Individual
SAMANTHA BLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1899 TATE BLVD SE STE 2101, HICKORY, NC 28602-4200
(828) 327-7788
(828) 327-0112
Mailing address
2072 46TH AVENUE DR NE, HICKORY, NC 28601-8441
(773) 636-2297
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125-065333
IL
207R00000X
Internal Medicine Physician
270421
MA
207RN0300X
Nephrology Physician
036.148940
IL
207RN0300X
Nephrology Physician
Primary
DR.0065833
CO
Other
Enumeration date
06/17/2014
Last updated
08/13/2025
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