Individual
DR. NADEZDA SAMPLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3110 MACCORKLE AVE SE RM 58, CHARLESTON, WV 25304-1210
(304) 388-9947
Mailing address
10 MOUNTAIN TOP CIR, SOUTH CHARLESTON, WV 25309-9642
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
291755
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/21/2014
Last updated
11/20/2018
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