Individual
MR. LARRY SAMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
(803) 695-7921
Mailing address
206 HASTINGS POINT DR, COLUMBIA, SC 29203-9101
(803) 754-8247
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1018962
GA
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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