Samson, Mark J
Samson, Mark J is an individual health care provider with primary practice located at 908 Hillcrest Pkwy , Dublin GA 31021-4206. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Samson, Mark J can be contacted via phone (478) 272-7411.Contact Information
Primary practice address
908 Hillcrest Pkwy
Dublin GA 31021-4206
Phone: (478) 272-7411
Fax: (478) 274-9809
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 040776 | Georgia |
Profile Details
| NPI number | 1386637189 |
|---|---|
| LBN Legal business name | Samson, Mark J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 26th, 2005 |
| Last updated | Jul 3rd, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386637189 | NPPES |
| Georgia | MEDICAID | 000718198D |
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