Individual
DR. TAMEKA CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPC
Contact information
Practice address
655 VILLAGE SQUARE DR, STONE MOUNTAIN, GA 30083-3300
(678) 704-7553
Mailing address
PO BOX 491232, LAWRENCEVILLE, GA 30049-0021
(770) 904-9173
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
171W00000X
Contractor
—
GA
174H00000X
Health Educator
Primary
—
GA
246Y00000X
Health Information Specialist/Technologist
—
FL
246Y00000X
Health Information Specialist/Technologist
—
GA
261QM1300X
Multi-Specialty Clinic/Center
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
321648
DOCTORATE OF DIVINITY
GA
01
—
831099232
BILLING COMPANY
GA
Enumeration date
05/08/2019
Last updated
04/14/2026
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