Individual
MR. MARK WAYNE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2525 DESALES AVE, CHATTANOOGA, TN 37404-1161
(423) 495-8380
(423) 495-7719
Mailing address
96 COUNTRY ESTATES RD, LA FAYETTE, GA 30728-4900
(706) 638-8550
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6219
TN
183500000X
Pharmacist
RPH013474
GA
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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