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Individual

ANTWOINNE CAMPBELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BS

Contact information

Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 596-5500
Mailing address
2100 COMER AVENUE, P.O. BOX 5328, COLUMBUS, GA 31906

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
11/08/2018
Last updated
11/08/2018
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