Individual
DR. EBENEZER SAMPONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5001 HARDY ST, HATTIESBURG, MS 39402
(601) 296-3963
Mailing address
12027 PARC AUX CHENES, GULFPORT, MS 39503-4570
(918) 671-2813
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
28989
MS
Other
Enumeration date
03/24/2017
Last updated
07/29/2024
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