Individual
MRS. SAMANTHA LEE MILOSZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
378 MARKETPLACE DR STE 5, JOHNSON CITY, TN 37604-2361
(423) 282-0751
(423) 282-1577
Mailing address
1019 W OAKLAND AVE, SUITE 1, JOHNSON CITY, TN 37604-2357
(423) 915-5000
(423) 915-5045
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1649
TN
363AM0700X
Medical Physician Assistant
011369-1
NY
363AM0700X
Medical Physician Assistant
25MP00165800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1512404
—
TN
05
—
1750573820
—
VA
Enumeration date
08/13/2007
Last updated
06/05/2018
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