Individual
MICHELLE SAMPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1901 W CLINCH AVE, KNOXVILLE, TN 37916-2307
(937) 547-5726
Mailing address
835 SWEITZER ST, GREENVILLE, OH 45331-1007
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.004697RX
OH
Other
Enumeration date
03/25/2016
Last updated
06/21/2016
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