Milosz, Samantha Lee

Milosz, Samantha Lee is an individual health care provider with primary practice located at 378 Marketplace Dr Ste 5 , Johnson City TN 37604-2361. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Milosz, Samantha Lee can be contacted via phone (423) 282-0751.

Contact Information

Primary practice address
378 Marketplace Dr Ste 5 Johnson City TN 37604-2361
Phone: (423) 282-0751
Fax: (423) 282-1577
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 25MP00165800 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 011369-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1649 Tennessee

Profile Details

NPI number 1750573820
LBN Legal business name Milosz, Samantha Lee
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2007
Last updated Jun 5th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750573820 NPPES
Virginia MEDICAID 1750573820
Virginia MEDICAID 1512404

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