Individual
DR. SUSAN KELLER CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8650 SUDLEY RD, SUITE 306, MANASSAS, VA 20110-4419
(703) 393-9494
(703) 393-8591
Mailing address
8650 SUDLEY RD, SUITE 306, MANASSAS, VA 20110-4419
(703) 393-9494
(703) 393-8591
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101050838
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005635675
—
VA
01
—
2154106
UNITED HEALTHCARE MAMSI
—
01
—
259951
UNITED HEALTHCARE MAMSI
—
01
—
334844
ANTHEM HEALTHKEEPERS PLUS
—
01
—
50320001
CAREFIRST
—
01
—
804791
AETNA
—
01
—
8154106
UNITED HEALTHCARE MAMSI
—
Enumeration date
12/18/2006
Last updated
07/09/2007
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