Individual
GARY L CAMPBELL II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
243 MAPLE CREEK DR, NEWNAN, GA 30263-7047
(321) 287-3048
Mailing address
243 MAPLE CREEK DR, NEWNAN, GA 30263-7047
(321) 287-3048
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
212903
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
308547300
—
FL
01
—
G4333
BCBS
FL
Enumeration date
07/12/2007
Last updated
02/21/2022
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