Provider Demographics
NPI:1386323715
Name:MESSAMER, SAMANTHA BRYCE (PA)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:BRYCE
Last Name:MESSAMER
Suffix:
Gender:
Credentials:PA
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Mailing Address - Street 1:1150 AMBER SHADOW DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-6780
Mailing Address - Country:US
Mailing Address - Phone:864-556-9145
Mailing Address - Fax:
Practice Address - Street 1:1840 MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-7415
Practice Address - Country:US
Practice Address - Phone:984-272-2422
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-13
Last Update Date:2025-03-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC0010-13371363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant