Provider Demographics
NPI:1871397414
Name:WILLIAMSON, SAMANTHA SHELEEN (MD)
Entity type:Individual
Prefix:DR
First Name:SAMANTHA
Middle Name:SHELEEN
Last Name:WILLIAMSON
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:SAMANTHA
Other - Middle Name:SHELEEN
Other - Last Name:HERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6224 POWHATAN AVE
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23508-1043
Mailing Address - Country:US
Mailing Address - Phone:605-270-9486
Mailing Address - Fax:
Practice Address - Street 1:620 JOHN PAUL JONES CIR STE 275
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23708-2197
Practice Address - Country:US
Practice Address - Phone:605-270-9486
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171000000XOther Service ProvidersMilitary Health Care Provider