Organization
ANNYCE R. CAMPBELL M.D., PA.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNYCE RAMONA CAMPBELL M.D. (PHYSICIAN)
(769) 257-5713
Entity
Organization
Contact information
Practice address
4510 HANGING MOSS RD, JACKSON, MS 39206-3962
(769) 257-5713
(769) 257-5715
Mailing address
4510 HANGING MOSS RD, JACKSON, MS 39206-3962
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
08563
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00012698
—
MS
Enumeration date
09/02/2014
Last updated
09/02/2014
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