Individual
LESLIE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
709 N JUSTICE ST STE A, HENDERSONVILLE, NC 28791-3455
(828) 697-7377
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
2020-02260
NC
207RC0000X
Cardiovascular Disease Physician
91841
SC
207RC0000X
Cardiovascular Disease Physician
A69203
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A692030
—
CA
05
—
NC4431
—
SC
01
—
NNB754A
MEDICARE PTAN
NC
01
—
SCT0625019
MEDICARE PIN
SC
Enumeration date
10/02/2006
Last updated
04/30/2024
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