NPI | 1730311648 |
---|---|
Doing Business As | SAMPSON MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | HUNTER BALLTZGLIER Director 910-590-8755 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
363A00000X Physician Assistant | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2009-08-12 |
Last Update Date | 2022-07-21 |