Samper, Luis

Samper, Luis is an individual health care provider with primary practice located at 750 North Cobb Street Suite 230, Milledgeville GA 31061. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Samper, Luis can be contacted via phone (478) 453-9383.

Contact Information

Primary practice address
750 North Cobb Street Suite 230 Milledgeville GA 31061
Phone: (478) 453-9383
Fax: (478) 452-1147
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 13713 Georgia

Profile Details

NPI number 1407946825
LBN Legal business name Samper, Luis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2006
Last updated Jul 12th, 2011 - about 15 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 1407946825 NPPES
Georgia MEDICAID 0011822A
Georgia Other 52041050002

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