MEDICARE: SAMANTHA Y KING MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	0101234104	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	62490	OTHER	VA	OPTIMA
3	246295	OTHER	VA	BCBS

General Provider Information

NPI Number	:	1639147739
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMANTHA Y KING MD

Provider Business Mailing Address
First Line	:	1627 SEYMOUR DR
Second Line	:
City	:	SOUTH BOSTON
State	:	VA
Zip	:	24592-3447
Country	:	US
Telephone Number	:	434-575-1336
Fax Number	:	434-572-2063

Provider Business Practice Location Address
First Line	:	1627 SEYMOUR DR
Second Line	:
City	:	SOUTH BOSTON
State	:	VA
Zip	:	24592-3447
Country	:	US
Telephone Number	:	434-575-1336
Fax Number	:	434-575-1349

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	01/31/2020

Similar Medicare Providers

1801823620 — DR. JASON P BLOCK MD
Practice Location Address:

75 FRANCIS STREET , BRIGHAM INTERNAL MEDICARE ASSOCIATES
BOSTON, MA
02115

Practice Phone: 617-732-6049
Practice Fax: 617-264-5202

1619404282 — MISS WHITNEY MINTER HARRELL FNP
Practice Location Address:

1627 SEYMOUR DR
SOUTH BOSTON, VA
24592-3447

Practice Phone: 276-670-3300
Practice Fax:

1184120164 — THERESA GAY DUFFEY LCSW
Practice Location Address:

1627 SEYMOUR DR
SOUTH BOSTON, VA
24592-3447

Practice Phone: 434-575-1336
Practice Fax: 434-575-1349

1164857579 — ALEXANDRA CHOURAMANIS DPT
Practice Location Address:

1350 TREMONT ST
BOSTON, MA
02120-3447

Practice Phone: 617-267-3773
Practice Fax: 617-602-1010

1093140402 — JULIE SCHWAB DPT
Practice Location Address:

1350 TREMONT ST
BOSTON, MA
02120-3447

Practice Phone: 617-267-3773
Practice Fax: 617-602-1010

1831513340 — CAROLE GILLIS DPT
Practice Location Address:

1350 TREMONT ST
BOSTON, MA
02120-3447

Practice Phone: 617-267-3773
Practice Fax: 617-602-1010

Directions to “ SAMANTHA Y KING MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.