Individual
DR. SAMANTHA LEIGH OLSEN MCCLEASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1921 FALLS VALLEY DR, RALEIGH, NC 27615-3446
(919) 872-0250
(919) 848-3054
Mailing address
1921 FALLS VALLEY DR, RALEIGH, NC 27615-3446
(919) 872-0250
(919) 848-3054
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2021-00739
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912494212
—
NC
Enumeration date
04/23/2018
Last updated
06/23/2021
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