Individual provider · Type 1 NPI

Samantha Dare Gulledge, PA

Physician Assistant · Wilmington, NC

NPI number 1740991504 Active

Practice location

1099 Medical Center Dr, Suites 100 And 201
Wilmington, NC 28401

Call (910) 251-9994 Map

Fax (910) 763-4666

Mailing address

PO Box 23329
New York, NY 10087-3329

Other practice locations

  • 720 Jefferson St, Whiteville, NC 28472-3706 · (910) 251-9944
  • 308 S Bennett St, Burgaw, NC 28425-5048 · (910) 251-9944

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X0010-12847 (NC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1740991504

Samantha Dare Gulledge, PA's National Provider Identifier is 1740991504, issued on Dec 12, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Wilmington, NC. The record was last updated on May 4, 2026.