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Individual
SAMUEL LOUIS PATTERSON
Active
Individual
SAMUEL LOUIS PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-05977
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447635438
—
NC
05
—
8000214
—
NC
Enumeration date
07/20/2015
Last updated
11/18/2025
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