Individual
SAMUEL S JETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1840 AMHERST ST, WINCHESTER, VA 22601-2808
(540) 536-8000
(540) 536-7780
Mailing address
878 FOX DR, WINCHESTER, VA 22603-8613
(540) 662-8336
(540) 662-8593
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101256091
VA
207L00000X
Anesthesiology Physician
26735
WV
Other
Enumeration date
03/23/2010
Last updated
03/24/2021
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