Individual
SAMANTHA NICHOLE HUNTSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2004 HAYES ST STE 200, NASHVILLE, TN 37203-2689
(615) 324-1600
Mailing address
4250 GOURLEY RD, PEGRAM, TN 37143-5004
(731) 514-6411
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
TN
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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