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Individual

DR. BRENT JEREMY CAMPBELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1025 EXECUTIVE DRIVE, SUITE 100, HIXSON, TN 37343
(423) 778-9030
(423) 778-9031
Mailing address
975 E 3RD ST, ATTN: PROVIDER ENROLLMENT, CHATTANOOGA, TN 37403-2147
(423) 778-5630
(423) 778-3146

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2018
TN

Other

Enumeration date
05/17/2007
Last updated
09/10/2015
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