| NPI | 1598997371 |
|---|---|
| Former Legal Business Name | SAMPSON UROLOGY ASSOCIATES, PLLC |
| Entity Type | Organization |
| Authorized Contact | ROBERT WILLIAM REAGAN Owner/Manager 910-590-3569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NC 200300399) |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2020-07-17 |