Individual
MR. JONATHAN M CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1650 GREENFIELD ST, WILMINGTON, NC 28401-6456
(910) 798-3500
(910) 798-7834
Mailing address
401 N MAIN ST, KENANSVILLE, NC 28349-8801
(910) 296-2774
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1170
ME
Other
Enumeration date
05/21/2009
Last updated
08/16/2023
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