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Organization
SAMPSON REGIONAL PROFESSIONAL SERVICES
Active
Organization
SAMPSON REGIONAL PROFESSIONAL SERVICES
Active
Other names
Carolina Pain Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HUNTER BALLTZGLIER (DIRECTOR)
(910) 590-8755
Entity
Organization
Contact information
Practice address
518 BEAMAN ST, CLINTON, NC 28328-2602
(910) 596-4288
Mailing address
607 BEAMAN ST, CLINTON, NC 28328-2603
(910) 590-8755
(910) 596-6106
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
200301024
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
09/28/2012
Last updated
07/21/2022
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