Individual
MR. JARED SCOTT CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
1 HEALTH CIR, LEXINGTON, VA 24450-2448
(540) 458-3345
Mailing address
1110 POTTS CREEK RD, COVINGTON, VA 24426-6908
(540) 969-8379
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0110002282
VA
363A00000X
Physician Assistant
Primary
0110002282
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104923986
—
VA
Enumeration date
09/20/2006
Last updated
05/20/2008
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