Larry Sampson PA

NPI 1750497962 - Physician Assistant - 363A00000X

NPI Details
NPI 1750497962
Gender Male
Enumeration Date 08/21/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
6439 GARNERS FERRY RD
COLUMBIA SC, 29209-1638, US
Phone (803) 776-4000
Fax (803) 695-7921
Business Location
206 HASTINGS POINT DR
COLUMBIA SC, 29203-9101, US
Phone (803) 754-8247
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Georgia
License Number 1018962
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According to our database, Mr. Larry Sampson PA NPI is 1750497962, taxonomy code is 363A00000X and license number is 1018962, license state is located at Georgia. Larry Sampson PA physically located at 6439 Garners Ferry Rd, Columbia SC, 29209-1638. NPI Number Larry Sampson PA has the Individual type.

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1750497962 NPI number is provided on an as is basis without warranty of any kind. 1750497962 is maintained by the National Plan & Provider Enumeration System. The contents of Larry Sampson PA are for informational purposes only.