Samuel Jackson Dail, M.D.
Family Medicine in New Bern, NC. Individual provider (NPI-1).
NPI number1255710331
StatusActive
Last updated in NPPESJul 3, 2018
Details
- NPI
- 1255710331
- Entity type
- Individual (NPI-1)
- Name
- Samuel Jackson Dail
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 22, 2015
- Last updated
- Jul 3, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 2018-00120 | NC | Yes |
| 207Q00000X | Family Medicine | LL38133 | SC |
Practice location
1040 Medical Park AveNew Bern, NC 28562
Phone 252-633-1678 · Fax 252-633-1403
Mailing address
Po Box 12248New Bern, NC 28561-2248
Phone 252-514-6685 · Fax 252-514-2745
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