Hampson, Mary Suzanne

Hampson, Mary Suzanne is an individual health care provider with primary practice located at 4402 Shipyard Blvd , Wilmington NC 28403-6161. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Hampson, Mary Suzanne can be contacted via phone (910) 202-4615.

Contact Information

Primary practice address
4402 Shipyard Blvd Wilmington NC 28403-6161
Phone: (910) 202-4615
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2010-00766 North Carolina

Profile Details

NPI number 1710034525
LBN Legal business name Hampson, Mary Suzanne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Nov 21st, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710034525 NPPES
North Carolina Other 1710034525 CHAMPUS
North Carolina MEDICAID 5914630 CHAMPUS
North Carolina Other P00838856 CHAMPUS

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