Individual
MARY CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAA
Contact information
Practice address
100 HOSPITAL DR, BENNINGTON, VT 05201-5004
(802) 442-6361
Mailing address
3611 PRESTON CT SW, LILBURN, GA 30047-2467
(770) 401-5890
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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