Individual
NICHOLAS SAMAHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2151 OLD BRICK RD, GLEN ALLEN, VA 23060-5837
(843) 957-4804
Mailing address
2151 OLD BRICK RD, GLEN ALLEN, VA 23060-5837
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110007194
VA
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/05/2019
Last updated
03/03/2025
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