Organization
DEMEKA CAMPBELL-MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEMEKA YVETTE CAMPBELL MD (CEO)
(612) 964-0939
Entity
Organization
Contact information
Practice address
1309 STOVALL LN, MT JULIET, TN 37122-4955
(612) 964-0939
Mailing address
1309 STOVALL LN, MT JULIET, TN 37122-4955
(612) 964-0939
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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