Individual
MR. SAMUEL OLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
415 RAY C HUNT DR FL 2, CHARLOTTESVILLE, VA 22903-2980
(434) 924-5700
(434) 924-1736
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110006282
VA
Other
Enumeration date
07/17/2018
Last updated
08/09/2023
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