| Debra C Sams Do | |
|
122 Maplewood Avenue Ronceverte WV 24970 | |
| (304) 645-4406 | |
| Not Available |
| Full Name | Debra C Sams Do |
|---|---|
| Speciality | Family Medicine |
| Location | 122 Maplewood Avenue, Ronceverte, West Virginia |
| Authorized Official Name and Position | Debra C Crites-sams (OWNER/PHYSICIAN) |
| Authorized Official Contact | 3046454406 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Debra C Sams Do Po Box 465 Ronceverte WV 24970 Ph: () - | Debra C Sams Do 122 Maplewood Avenue Ronceverte WV 24970 Ph: (304) 645-4406 |
| NPI Number | 1073700837 |
|---|---|
| Provider Enumeration Date | 09/26/2007 |
| Last Update Date | 11/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073700837 | NPI | - | NPPES |
| 3810010441 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E35409 (West Virginia) | Primary |
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