Individual
ELEANOR WALAITIS CAMPBELL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3925 JOHNS CREEK CT, SUITE A, SUWANEE, GA 30024-1265
(678) 474-4742
(678) 474-0095
Mailing address
3925 JOHNS CREEK CT, SUITE A, SUWANEE, GA 30024-1265
(678) 474-4742
(678) 474-0095
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
033741
GA
Other
Enumeration date
10/05/2005
Last updated
03/07/2023
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