Individual
GEORGE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
315 S SOMERVILLE ST, MEMPHIS, TN 38104-3352
(901) 827-0571
(500) 594-5717
Mailing address
315 DR. MARTIN LUTHER KING DR., MEMPHIS, TN 38104
(901) 827-0571
(800) 594-5117
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1000000014991
TN
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1000000015350
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q009263
—
TN
Enumeration date
12/11/2014
Last updated
12/11/2014
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