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Organization

SAMPSON REGIONAL PROFESSIONAL SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GERALD HEINZMAN MD (DIRECTOR)
(910) 590-8755
Entity
Organization

Contact information

Practice address
607 BEAMAN ST, CLINTON, NC 28328-2603
(910) 592-8511
(910) 596-5430
Mailing address
607 BEAMAN ST, CLINTON, NC 28328-2603
(910) 592-8511
(910) 596-5430

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207V00000X
Obstetrics & Gynecology Physician
207X00000X
Orthopaedic Surgery Physician
208600000X
Surgery Physician
Primary

Other

Enumeration date
04/09/2015
Last updated
04/10/2015
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