Individual
DR. JACQUES E SAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6215 HUMPHREYS BLVD STE 400, MEMPHIS, TN 38120-2382
(901) 227-9580
(901) 227-9527
Mailing address
965 RIDGE LAKE BLVD, MEMPHIS, TN 38120-9401
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
4301082859
MI
207VM0101X
Maternal & Fetal Medicine Physician
23156
MS
207VM0101X
Maternal & Fetal Medicine Physician
Primary
42670
TN
207VM0101X
Maternal & Fetal Medicine Physician
R8823
TX
Other
Enumeration date
06/15/2006
Last updated
08/24/2022
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