Individual
MARY CAMPILII
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
4901 COLUMBIA RD, GROVETOWN, GA 30813-5212
(706) 401-4116
Mailing address
4901 COLUMBIA RD, GROVETOWN, GA 30813-5212
(706) 401-4116
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIRO07892
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CHIRO07892
LICENSE NUMBER
GA
Enumeration date
08/22/2008
Last updated
08/22/2008
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