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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00492
BCBS
NC
Enumeration date
09/28/2012
Last updated
07/21/2022
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