Individual
MS. MASHANDA TONYEKA CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
990 WHITLOCK AVE NW STE A, MARIETTA, GA 30064-1940
(770) 943-7808
Mailing address
601 S HARBOUR ISLAND BLVD STE 200, TAMPA, FL 33602-5925
(800) 480-5243
(800) 928-7449
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
70864
GA
Other
Enumeration date
05/20/2011
Last updated
04/22/2024
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