Samantha Theobald, NP

NURSE PRACTITIONER

27 Gamecock Ave

Suite 201

Charleston, SC 294073398

(843) 163-2815

**NPI:** 1508563347

**Med School:** OTHER

**Experience:** 3 years

**Telehealth:** No

**Medicare Assignment:** Yes

Practice Locations (2)

JOHN E EMMEL MD PC

27 Gamecock Ave, Suite 201
Charleston, SC 294073398

Phone: (843) 163-2815

**Group ID:** 5193772747 | **Group Size:** 11 members

CH SPECIALTY SERVICES SC LLC

6650 Rivers Ave
North Charleston, SC 294064809

Phone: (337) 991-9276

**Group ID:** 6608182993 | **Group Size:** 150 members

MOUNT PLEASANT HOSPITAL Type: Hospital
3510 HIGHWAY 17 NORTH SUITE 140
Phone: (843) 724-2954
Medicare CCN: 420104 View Profile

Home health agency Type: Home health agency
Medicare CCN: 427027 View Profile

MIPS performance data is not available or not publicly reported.

Procedure volume data is not available for public display.

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