Organization
ROBERT L SAMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT L SAMS OPTOMERIST (DOCTOR)
(423) 543-3421
Entity
Organization
Contact information
Practice address
114 S SYCAMORE ST, ELIZABETHTON, TN 37643-3339
(423) 543-3421
(423) 543-7099
Mailing address
114 S SYCAMORE ST, ELIZABETHTON, TN 37643-3339
(423) 543-3421
(423) 543-7099
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
TNO361
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03518029
—
TN
Enumeration date
06/02/2008
Last updated
06/02/2008
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