Individual
ANNA BATES SAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
12200 WARWICK BLVD STE 410, NEWPORT NEWS, VA 23601-2548
(757) 534-5200
(757) 534-5830
Mailing address
856 J CLYDE MORRIS BLVD STE A, NEWPORT NEWS, VA 23601-1318
(757) 316-5800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110010267
VA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
01/18/2024
Last updated
09/19/2024
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