Well Life With Sam, LLC
NPI #1013715366 in King George, Virginia
Provider Information
- NPI Number
- 1013715366
- Entity Type
- Organization
- Organization Name
- Well Life With Sam, LLC
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Mar 4, 2025
- Last Updated
- Mar 4, 2025
Practice Location
- Address
- 7935 HERON WAY
- City
- King George
- State
- Virginia
- ZIP Code
- 22485-7391
- Phone
- (217) 202-5701
Authorized Official
- Name
- SAMANTHA COGIL, NP
- Title
- NURSE PRACTITIONER/ OWNER
- Phone
- (217) 202-5701
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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