Healthcare Provider Details

I. General information

NPI: 1457542490
Provider Name (Legal Business Name): STEVEN WILLIAM SAMOYA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2007
Last Update Date: 05/27/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

67 CREEKSIDE PARK CT
GREENVILLE SC
29615-4810
US

IV. Provider business mailing address

1 INDEPENDENCE PT STE 212
GREENVILLE SC
29615-4536
US

V. Phone/Fax

Practice location:
  • Phone: 864-242-4602
  • Fax: 864-242-0129
Mailing address:
  • Phone: 864-797-6015
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number34289
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License Number34289
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: