Individual
MR. DERECK G CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
222 OAK ST, MOUNTAIN CITY, TN 37683-1526
(423) 727-6319
(423) 727-4164
Mailing address
PO BOX 850, ROGERSVILLE, TN 37857-0850
(423) 727-6319
(423) 727-4164
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2271
TN
Other
Enumeration date
02/26/2013
Last updated
02/26/2013
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