Individual
MR. JOHN LAMAR CAMPBELL II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1636 WOODLAWN AVE, DYERSBURG, TN 38024-2026
(731) 285-6400
(731) 287-8607
Mailing address
100 MORELLA RD, KENTON, TN 38233-3270
(731) 446-6500
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5714
TN
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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