Individual
DR. DIANE L CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
108 GAY ST, ERWIN, TN 37650-1228
(423) 743-8400
(423) 743-6888
Mailing address
PO BOX 759, ERWIN, TN 37650-0759
(423) 743-8400
(423) 743-6888
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD25069
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4004557
—
TN
Enumeration date
07/08/2005
Last updated
07/17/2008
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