Glenn A Campbell MD

NPI 1063429470 - Family Medicine - 207Q00000X

NPI Details
NPI 1063429470
Gender Male
Enumeration Date 08/01/2006
Last Updated 01/20/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
1 LINCOLN PKWY
SUITE 102
HATTIESBURG MS, 39402-3262, US
Phone (601) 268-5830
Fax (601) 261-3181
Business Location
415 S 28TH AVE
HATTIESBURG MS, 39401-7246, US
Phone (601) 579-5463
Fax (601) 579-5240
Toxanomy
Taxonomy Code 207Q00000X
License State Mississippi
License Number 11345
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According to our database, Glenn A Campbell MD NPI is 1063429470, taxonomy code is 207Q00000X and license number is 11345, license state is located at Mississippi. Glenn A Campbell MD physically located at 1 Lincoln Pkwy, Hattiesburg MS, 39402-3262. NPI Number Glenn A Campbell MD has the Individual type.

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1063429470 NPI number is provided on an as is basis without warranty of any kind. 1063429470 is maintained by the National Plan & Provider Enumeration System. The contents of Glenn A Campbell MD are for informational purposes only.