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NPI Code Detail

MEDICARE: MORGAN SAMSON M.S., CCC-SLP

MEDICARE: MORGAN SAMSON M.S., CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist11825NC

General Provider Information

NPI Number : 1366805442
Entity Type Code : Individual
Provider Name (Legal Business Name) : MORGAN SAMSON M.S., CCC-SLP
Provider Business Mailing Address
First Line : 809 WILDFLOWER DR
Second Line :
City : SURF CITY
State : NC
Zip : 28445-7804
Country : US
Telephone Number : 210-601-3671
Fax Number :
Provider Business Practice Location Address
First Line : 58 OFFICE PARK DR
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28546-3218
Country : US
Telephone Number : 910-395-2995
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2016
Last Update Date : 04/05/2016

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Directions to “ MORGAN SAMSON M.S., CCC-SLP” Practice Location

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