person
Samantha Jean Theobald, FNP
Family Nurse Practitioner in Charleston, South Carolina
NPI 1508563347

Samantha Jean Theobald is a Family Nurse Practitioner based in Charleston, SC and is specialized in Family. Samantha Jean Theobald practices in Charleston, SC and has the professional credentials of FNP. The NPI Number for Samantha Jean Theobald is 1508563347 and holds a License No. 27061 (South Carolina).

The current practice location address for Samantha Jean Theobald is 27 Gamecock Ave Ste 201, Charleston, SC and can be reached out via phone at 843-769-8215 and via fax at 843-769-8216.

Location: 27 Gamecock Ave Ste 201, Charleston, SC, 29407-3398
person
Provider Profile Details
NPI Number
1508563347
Provider Name
Samantha Jean Theobald
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
27 Gamecock Ave Ste 201, Charleston, SC, 29407-3398
Phone Number
843-769-8215
Fax Number
843-769-8216
Provider Enumeration Date
02/13/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
27 Gamecock Ave Ste 201
City
State
Zip
29407-3398
Phone Number
843-769-8215
Fax Number
843-769-8216
person
Provider Business Mailing Address Details
Address
27 Gamecock Ave Ste 201
City
State
Zip
29407-3398
Phone Number
843-769-8215
Fax Number
843-769-8216
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
27061 (South Carolina)
Definition
Definition to come...
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