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1750497962
LARRY SAMPSON
COLUMBIA, SC
NPI
1750497962
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 1018962)
Enumeration Date
2006-08-21
Last Update Date
2007-07-08
Business Address
Mr. LARRY SAMPSON PA
6439 GARNERS FERRY RD
COLUMBIA, SC 29209-1638
Phone number: 803-776-4000
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Mailing Address
Mr. LARRY SAMPSON PA
206 HASTINGS POINT DR
COLUMBIA, SC 29203-9101
Phone number: 803-754-8247
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