Organization
SAMPSON REGIONAL MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD T HEINZMAN JR. (CHIEF FINANCIAL OFFICER)
(910) 592-8511
Entity
Organization
Contact information
Practice address
607 BEAMAN ST, ANESTHESIA DEPARTMENT, CLINTON, NC 28328-2603
(910) 592-8511
Mailing address
PO BOX 890235, CHARLOTTE, NC 28289-0235
(800) 919-1190
(706) 737-2272
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
NC
367500000X
Certified Registered Nurse Anesthetist
—
NC
Other
Enumeration date
07/30/2007
Last updated
07/21/2022
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