Individual
DR. WENDELL CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4840 ROSWELL RD NE, A100, ATLANTA, GA 30342-2639
(404) 256-0009
Mailing address
PO BOX 5478, ATLANTA, GA 31107-0478
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
012250
GA
Other
Enumeration date
12/28/2007
Last updated
12/28/2007
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