Individual
SAMUEL HARRISON WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3013
(336) 718-5000
Mailing address
3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3013
(336) 718-5000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
382100
NC
Other
Enumeration date
08/19/2025
Last updated
08/19/2025
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