Mitchell-Samon, Levonne Marie
Mitchell-Samon, Levonne Marie is an individual health care provider with primary practice located at 3049 Thomasville Road , Winston Salem NC 27107-9671. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Mitchell-Samon, Levonne Marie can be contacted via phone (743) 229-3300.Contact Information
Primary practice address
3049 Thomasville Road
Winston Salem NC 27107-9671
Phone: (743) 229-3300
Fax: (743) 229-3324
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME82607 | Florida |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | ME82607 | Florida |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2022-03272 | North Carolina |
Profile Details
| NPI number | 1770542813 |
|---|---|
| LBN Legal business name | Mitchell-Samon, Levonne Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 18th, 2006 |
| Last updated | Feb 8th, 2024 - about 10 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770542813 | NPPES |
| Georgia | MEDICAID | 000951772A | |
| Georgia | Other | 15390 | |
| Georgia | Other | 1770542813 | |
| Georgia | MEDICAID | 264595500 |
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