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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