Individual
MRS. LINDA A CAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
400 TOWN CENTER AVE STE 100, COLUMBIANA, OH 44408-8312
(330) 332-7383
(330) 337-9298
Mailing address
400 TOWN CENTER AVE STE 100, COLUMBIANA, OH 44408-8312
(330) 332-7383
(330) 337-9298
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
370663567
IL
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
01071425A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326268202
GROUP NPI
IL
01
—
201080210
MEDICAID
IN
05
—
2171475
—
OH
05
—
36119449
—
IL
01
—
P01120501
RAILROAD MEDICARE
IN
Enumeration date
11/14/2005
Last updated
09/18/2024
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