Individual
MS. LEVONNE MARIE MITCHELL-SAMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3049 THOMASVILLE ROAD, WINSTON SALEM, NC 27107-9671
(743) 229-3300
(743) 229-3324
Mailing address
3049 THOMASVILLE ROAD, WINSTON SALEM, NC 27107-9671
(743) 229-3300
(743) 229-3324
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2022-03272
NC
207R00000X
Internal Medicine Physician
ME82607
FL
207RI0200X
Infectious Disease Physician
ME82607
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000951772A
—
GA
01
—
15390
BCBS
FL
01
—
1770542813
TRICARE
FL
05
—
264595500
—
FL
01
—
NNP493H224
MEDICARE
NC
Enumeration date
03/18/2006
Last updated
03/09/2026
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