Individual
MS. SANDRA LEIGH SAMUELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2 BELLA GROVE DR, GREENVILLE, SC 29607-3459
(864) 603-5600
Mailing address
2 BELLA GROVE DR, GREENVILLE, SC 29607-3459
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12798087
CAQH
—
Enumeration date
10/07/2008
Last updated
08/26/2025
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