Individual
DR. SAM SOMSOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-3100
(336) 716-2255
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
18797301
NY
207R00000X
Internal Medicine Physician
2008-01271
NC
208M00000X
Hospitalist Physician
Primary
2008-01271
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2008 -01271
NC MEDICAL LICENSE
NC
Enumeration date
03/16/2007
Last updated
05/04/2018
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