Individual
MELISSA D. CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1314 19TH AVE, MERIDIAN, MS 39301-4116
(601) 703-4078
(601) 703-4085
Mailing address
PO BOX 5183, MERIDIAN, MS 39302-5183
(601) 703-4282
(601) 703-4597
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
17739
MS
208M00000X
Hospitalist Physician
Primary
17739
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00126050
—
MD
01
—
P00057515
RAILROAD MEDICARE
—
Enumeration date
11/16/2005
Last updated
11/09/2013
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