Individual
DR. VIVIAN DENISE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
501 BILLINGSLEY RD, CHARLOTTE, NC 28211-1009
(704) 358-2700
(704) 358-2716
Mailing address
PO BOX 601372, CHARLOTTE, NC 28260-1372
(704) 358-2700
(704) 358-2716
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
9700209
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11104
BLUE CROSS BLUE SHIELD
NC
05
—
5909693
—
NC
05
—
N0020G
—
NC
Enumeration date
09/21/2006
Last updated
07/09/2013
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