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Individual

SAMSON S VELENA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
141 BEN BOLT AVE, TAZEWELL, VA 24651-9700
(276) 988-8700
Mailing address
388 BEN BOLT AVE, TAZEWELL, VA 24651-5386
(276) 988-8740
(273) 988-5941

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
0101041836
VA
207Q00000X
Family Medicine Physician
Primary
0101041836
VA

Other

Enumeration date
05/16/2006
Last updated
02/05/2019
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