Individual
MATTHEW BRYAN SAMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4411 ROSEMONT DR, COLUMBUS, GA 31904-5634
(706) 327-0279
Mailing address
4411 ROSEMONT DR, COLUMBUS, GA 31904-5634
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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