Organization
SAMSON K ORUSA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMSON KANLA ORUSA M.D (PRESIDENT.)
(931) 906-4366
Entity
Organization
Contact information
Practice address
261 STONECROSSING DR, CLARKSVILLE, TN 37042-8404
(931) 906-4366
(931) 906-4365
Mailing address
261 STONECROSSING DR, CLARKSVILLE, TN 37042-8404
(931) 906-4366
(931) 906-4365
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
28275
TN
261QP3300X
Pain Clinic/Center
28275
TN
Other
Enumeration date
08/20/2009
Last updated
08/20/2009
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