Individual
SAMUEL BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
118 NASH ST SW STE E, WILSON, NC 27893-3917
(252) 822-2018
Mailing address
4318 PARK SOUTH STATION BLVD, CHARLOTTE, NC 28210-4481
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
CPO05831
NC
224P00000X
Prosthetist
Primary
CPO05831
NC
Other
Enumeration date
07/27/2026
Last updated
07/27/2026
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