Individual
DEVYN ROSS SAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1047 S HIGHWAY 25 W, WILLIAMSBURG, KY 40769-1639
(606) 549-2656
Mailing address
107 S MAIN ST, JELLICO, TN 37762-2154
(423) 784-8492
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TC044
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/25/2025
Last updated
06/25/2025
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