Individual
SAMANTHA DREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
101 E WOOD ST STE 401, SPARTANBURG, SC 29303-3040
(645) 606-6548
(864) 560-7353
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41047
SC
207Q00000X
Family Medicine Physician
LL41047
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LL41047
BOARD OF MEDICAL EXAMINERS
SC
Enumeration date
06/21/2017
Last updated
12/23/2020
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