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Contact Information

CORDELL BAUGH SAMUELS
2313 EXECUTIVE CIRCLE SUITE C
GREENVILLE, NC27834
 Phone: 252-215-5700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for CORDELL BAUGH SAMUELS · (Male)

NPI Number 1285087163
Status Active
Credentials
Entity Individual
Enumeration date 07/15/2016
Last updated 07/15/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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