Individual
DR. CHARLAYA D CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 HIGHWAY 18 W, SUITE 201, BARNESVILLE, GA 30204-1171
(678) 359-1700
(706) 647-3861
Mailing address
210 HANNAHS MILL RD, THOMASTON, GA 30286-2801
(706) 938-0990
(706) 647-3861
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
64905
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003100702B
—
GA
Enumeration date
04/14/2008
Last updated
10/02/2013
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