Individual
CHARLES B CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2827 LYNDHURST AVE, SUITE 204, WINSTON SALEM, NC 27103-4145
(336) 768-0725
Mailing address
2827 LYNDHURST AVE, SUITE 204, WINSTON SALEM, NC 27103-4145
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
22554
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8920962
—
NC
Enumeration date
12/05/2006
Last updated
07/08/2007
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