Individual
DANIEL CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
721 S CHURCH ST, BROOKHAVEN, MS 39601-3811
(601) 717-3028
Mailing address
721 S CHURCH ST, BROOKHAVEN, MS 39601-3811
(601) 717-3028
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
251694
MS
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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