Individual
LACEY NICOLE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
801 W GORDON ST, THOMASTON, GA 30286-3426
(706) 647-8111
Mailing address
801 W GORDON ST, THOMASTON, GA 30286-3426
(706) 647-8111
(706) 647-8157
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN233127
GA
Other
Enumeration date
08/17/2023
Last updated
11/17/2023
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