Individual
CHARLES LARRY CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19 DOCTORS WAY STE C, BLAIRSVILLE, GA 30512-1118
(706) 439-6380
Mailing address
19 DOCTORS WAY STE C, BLAIRSVILLE, GA 30512-1118
(706) 439-6380
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
52031
TN
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
82064
GA
207RC0000X
Cardiovascular Disease Physician
52031
GA
207RC0000X
Cardiovascular Disease Physician
52031
TN
Other
Enumeration date
10/04/2006
Last updated
10/18/2024
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