# SAMPSON REGIONAL PROFESSIONAL SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sampson Wound Professional Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205259298
- **Authorized official:** JENNIFER J COBLE (DIRCTOR OF PRACTICE MANAGEMENT)
- **Authorized official phone:** (910) 596-5424

## Contact information

- **Practice address:** 607 BEAMAN ST, CLINTON, NC 28328-2603
- **Practice address phone:** (910) 590-8710
- **Practice address fax:** (910) 596-4309
- **Mailing address:** 607 BEAMAN ST, CLINTON, NC 28328-2603
- **Mailing address phone:** (910) 596-5424
- **Mailing address fax:** (910) 596-5430

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | — | — | Yes |
| 208600000X | Surgery Physician | — | — | — |

## Other

- **Enumeration date:** 01/27/2014
- **Last updated:** 01/27/2014