Individual
SAMANTHA ANNE GOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA, C
Contact information
Practice address
700 24TH ST, FORT LEE, VA 23801-1716
(866) 533-5242
Mailing address
700 24TH ST, FORT LEE, VA 23801-1716
(668) 533-5242
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/27/2018
Last updated
03/18/2024
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