Organization
SAMPSON REGIONAL PROFESSIONAL SERVICES LLC
Active
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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