Individual
SAMUEL CARTER WELBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2817 ROCK MERRITT AVE, FORT LIBERTY, NC 28310-0001
(440) 742-1674
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-0117
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101284363
VA
Other
Enumeration date
03/06/2023
Last updated
11/25/2024
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