| Doctor Name: | DR. DENNIS SAMUEL |
| NPI Number: | 1932102944 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 0101050784 |
| Business Practice Address: | 350 Steeles Rd Bristol, TN - 376209532 |
| Business Phone Number: | 4238444925 |
| Business Fax Number: | 4238444933 |
| Mailing Address: | Po Box 9, KINGSPORT |
| State: | TN |
| Postal Code: | 376620009 |
| Phone Number: | 4238572066 |
| Fax Number: | 4238572070 |
| NPI Enumeration Date: | 05/23/2005 |
| NPI Last Update Date: | 09/23/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207V00000X |
| License Number: | 0101050784 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |