Individual
SAMARA STOVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
78 MEDICAL CENTER DR, FISHERSVILLE, VA 22939-2332
(540) 932-5687
(540) 932-5688
Mailing address
PO BOX 388, FISHERSVILLE, VA 22939-0388
(540) 932-5687
(540) 932-5688
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110007326
VA
Other
Enumeration date
06/09/2020
Last updated
08/10/2023
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