| Samson K Orusa Pc | |
|
261 Stonecrossing Dr Clarksville TN 37042-8404 | |
| (931) 906-4366 | |
| (931) 906-4365 |
| Full Name | Samson K Orusa Pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 261 Stonecrossing Dr, Clarksville, Tennessee |
| Authorized Official Name and Position | Samson Kanla Orusa (PRESIDENT.) |
| Authorized Official Contact | 9319064366 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samson K Orusa Pc 261 Stonecrossing Dr Clarksville TN 37042-8404 Ph: (931) 906-4366 | Samson K Orusa Pc 261 Stonecrossing Dr Clarksville TN 37042-8404 Ph: (931) 906-4366 |
| NPI Number | 1770715013 |
|---|---|
| Provider Enumeration Date | 08/20/2009 |
| Last Update Date | 08/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770715013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 28275 (Tennessee) | Primary |
| 261QP3300X | Clinic/center - Pain | 28275 (Tennessee) | Secondary |
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