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Individual

SAUSAN TAHTAWI CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
50 DOCTORS DR, SUITE 2, HENDERSONVILLE, NC 28792-7209
(828) 684-2587
Mailing address
PO BOX 1869, FLETCHER, NC 28732-1869
(828) 687-5698

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2008-01391
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1502Y
BCBS NC
NC
01
16109
BCBS
NC
05
8901094
NC
01
P01297656
RR MEDICARE
NC
Enumeration date
01/05/2006
Last updated
08/09/2022
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