Individual
COURTNEY BRYNNE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1120 WELLSTAR WAY STE 105, HOLLY SPRINGS, GA 30114-8952
(678) 494-2500
Mailing address
1120 WELLSTAR WAY STE 105, HOLLY SPRINGS, GA 30114-8952
(678) 494-2500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7442
GA
363A00000X
Physician Assistant
9107144
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HE879Z
PTAN
FL
Enumeration date
04/09/2013
Last updated
11/10/2021
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