Individual
DR. WILLIAM EGBERT CAMPBELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 E MOREHEAD ST STE 300, CHARLOTTE, NC 28202-2742
(704) 334-7800
Mailing address
700 E MOREHEAD ST STE 300, CHARLOTTE, NC 28202-2742
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
31965
NC
2085R0204X
Vascular & Interventional Radiology Physician
31965
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18881
SC MEDICAL LICENSE
SC
01
—
20986
NC BLUE CROSS BLUE SHIELD
NC
01
—
31965
N MEDICAL LICENSE
NC
05
—
8920986
—
NC
01
—
MD030659
PA MEDICAL LICENSE
PA
05
—
N31965
—
SC
Enumeration date
01/17/2006
Last updated
11/30/2023
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