Individual
SAMANTHA MARIE WINZENREAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11 FIVE FORK PLAZA CT UNIT A, SIMPSONVILLE, SC 29681-5460
(864) 627-0444
(864) 627-0555
Mailing address
11 FIVE FORK PLAZA CT STE A, SIMPSONVILLE, SC 29681-5460
(864) 627-0444
(864) 627-0555
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MPA.4188
SC
Other
Enumeration date
11/01/2021
Last updated
05/02/2023
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