Individual
CARRIE MARIE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 APPLEWOOD DR, DALTON, GA 30720-2699
(706) 270-5033
(706) 270-5052
Mailing address
1401 APPLEWOOD DR, DALTON, GA 30720-2699
(706) 270-5033
(706) 270-5052
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
251S00000X
COMMUNITY BEHAVIORAL HEALTH
GA
Enumeration date
12/01/2015
Last updated
12/23/2015
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