Individual
BIENVENIDO T SAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
755 E MCMURRY BLVD, HARTSVILLE, TN 37074-2041
(615) 374-4477
(615) 374-4476
Mailing address
755 E MCMURRY BLVD, HARTSVILLE, TN 37074-2041
(615) 374-4477
(615) 374-4476
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD0000025108
TN
208D00000X
General Practice Physician
Primary
MD0000025108
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0140513
UNITED HEALTHCARE
TN
01
—
0177455
BLUE CROSS
TN
05
—
3080438
—
TN
Enumeration date
11/27/2006
Last updated
09/30/2011
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