Individual
DR. AUDREY L CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
301 MED TECH PKWY STE 240, JOHNSON CITY, TN 37604-2641
(423) 794-5520
(423) 282-6940
Mailing address
215 E SPRINGBROOK DR, JOHNSON CITY, TN 37601-1761
(423) 794-5520
(423) 282-6940
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0116021790
VA
207R00000X
Internal Medicine Physician
Primary
2439
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780816447
—
NC
05
—
1780816447
—
VA
05
—
7100238500
—
KY
05
—
Q000732
—
TN
Enumeration date
08/13/2009
Last updated
04/27/2020
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