Individual
SAMANTHA ZOLTAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
140 ALLEN CT, NORTH AUGUSTA, SC 29860-9782
(803) 510-0007
(803) 510-0144
Mailing address
140 ALLEN CT, NORTH AUGUSTA, SC 29860-9782
(803) 510-0007
(803) 510-0144
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3315
SC
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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