Individual
KIA D CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1800 HOWELL MILL RD NW STE LL10, ATLANTA, GA 30318-2593
(404) 425-7900
Mailing address
PO BOX 102321, ATLANTA, GA 30368-2321
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
3563
GA
363A00000X
Physician Assistant
Primary
003563
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003138520A
—
GA
Enumeration date
02/20/2007
Last updated
01/10/2025
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