Organization
SAMPSON REGIONAL PROFESSIONAL SERVICES LLC
Active
Other names
John Roberts MD Gynecology
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID MASTERSON (CEO)
(910) 592-8511
Entity
Organization
Contact information
Practice address
603 BEAMAN ST, SUITE 501, CLINTON, NC 28328-2650
(910) 590-8000
(910) 590-8001
Mailing address
603 BEAMAN ST, SUITE 501, CLINTON, NC 28328-2650
(910) 590-8000
(910) 590-8002
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
72188
BCBS
NC
05
—
8972188
—
NC
01
—
P00898016
RR MEDICARE
NC
Enumeration date
03/15/2010
Last updated
05/01/2013
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