Individual
JAKAYLA CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3096 SPRING HILL PKWY SE APT F, SMYRNA, GA 30080-4752
(843) 532-1531
Mailing address
3096 SPRING HILL PKWY SE APT F, SMYRNA, GA 30080-4752
(843) 532-1531
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
AT003670
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10131993
BITHDAY
—
Enumeration date
01/30/2020
Last updated
01/30/2020
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