Individual
KATERI CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(850) 376-7978
Mailing address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(850) 376-7978
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5182842
FL
Other
Enumeration date
07/25/2013
Last updated
07/25/2013
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