Individual
DR. GARTH SEAMUS CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, RADIOLOGY DEPARTMENT, JACKSON, MS 39216
(601) 984-2695
Mailing address
2500 N STATE ST, RADIOLOGY DEPARTMENT, JACKSON, MS 39216-4500
(601) 984-2695
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
22033
MS
2085R0204X
Vascular & Interventional Radiology Physician
Primary
22033
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06150219
—
MS
05
—
180301
—
AL
01
—
22033
MISSISSIPPI LICENSE NUMBER
MS
Enumeration date
10/16/2008
Last updated
06/28/2018
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