Individual
SAMANTHA ENNEKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
85 MCNAUGHTEN RD, COLUMBUS, OH 43213-2174
(614) 627-1430
(614) 627-1434
Mailing address
85 MCNAUGHTEN RD, COLUMBUS, OH 43213-2174
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.005118RX
OH
Other
Enumeration date
06/22/2017
Last updated
10/14/2024
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