Organization
CAROLINA UROLOGY HEALTHCARE, PLLC
Active
Organization
CAROLINA UROLOGY HEALTHCARE, PLLC
Active
Other names
Sampson Urology Associates, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT WILLIAM REAGAN JR. MD (OWNER/MANAGER)
(910) 590-3569
Entity
Organization
Contact information
Practice address
1021 BEAMAN STREET, CLINTON, NC 28328-4001
(910) 590-3569
(910) 592-3525
Mailing address
1021 BEAMAN STREET, CLINTON, NC 28328-4001
(910) 590-3569
(910) 592-3525
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
200300399
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89134K7
—
NC
Enumeration date
08/13/2009
Last updated
07/17/2020
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