Individual
MR. GARY EDWARD CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
901 ENTERPRISE PKWY, SUITE 900, HAMPTON, VA 23666-6249
(757) 827-2480
(757) 827-2566
Mailing address
50 SCHENCK PKWY, ASHEVILLE, NC 28803-3499
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-07694
NC
363AM0700X
Medical Physician Assistant
0010-07694
NC
363AS0400X
Surgical Physician Assistant
0101-005458
VA
Other
Enumeration date
07/20/2016
Last updated
01/04/2022
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