Individual
EDWIN S. CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
48 LAUREL DR, ELBERTON, GA 30635-1842
(706) 283-1820
(706) 283-1824
Mailing address
PO BOX 761, ELBERTON, GA 30635-0761
(706) 283-1820
(706) 283-1824
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10536
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00732531A
—
GA
Enumeration date
08/11/2006
Last updated
07/09/2007
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