Individual
MR. BILLY JOE SAMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, FNP
Contact information
Practice address
8450 PARK RD, CHARLOTTE, NC 28210-5801
(980) 308-0143
(980) 308-0142
Mailing address
PO BOX 601843, CHARLOTTE, NC 28260-1843
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5011923
NC
207Q00000X
Family Medicine Physician
F03190181
NC
363L00000X
Nurse Practitioner
Primary
5011923
NC
363LF0000X
Family Nurse Practitioner
5013840
NC
Other
Enumeration date
07/05/2019
Last updated
11/19/2024
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