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Individual

DR. TIMOTHY MERRILL CAMPBELL

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
3295 FORNEY ST, FORT JACKSON, SC 29207-5604
(803) 751-6213
(803) 751-6886
Mailing address
3295 FORNEY ST, FORT JACKSON, SC 29207-5604
(803) 751-6213
(803) 751-6886

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
5264
KY

Other

Enumeration date
12/01/2005
Last updated
07/08/2007
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