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Organization

FAMILY SERVICE OF THE PIEDMONT, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. THOMAS FOSTER CAMPBELL LPC (PRESIDENT/CEO)
(336) 889-6105
Entity
Organization

Contact information

Practice address
315 E WASHINGTON ST, GREENSBORO, NC 27401-2911
(336) 387-6161
(336) 387-9167
Mailing address
902 BONNER DR, JAMESTOWN, NC 27282-8948
(336) 889-6105
(336) 387-9167

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
201930
NC
363LA2200X
Adult Health Nurse Practitioner
201930
NC
363LF0000X
Family Nurse Practitioner
201930
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
201930
NC
363LP2300X
Primary Care Nurse Practitioner
Primary
201930
NC

Other

Enumeration date
09/23/2014
Last updated
09/23/2014
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