Individual
DR. MICHAEL LYLE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
827 LAMAR ALEXANDER PKWY, MARYVILLE, TN 37802
(865) 984-0900
(865) 984-1035
Mailing address
827 LAMAR ALEXANDER PKWY, MARYVILLE, TN 37802
(865) 984-0900
(865) 984-1035
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD35428
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200046165
RAILROAD MEDICARE
TN
05
—
3866234
—
TN
01
—
4017788
BLUE CROSS BLUE SHIELD
TN
01
—
TN01A7
JOHN DEERE HEALTHCARE
TN
Enumeration date
03/14/2006
Last updated
06/20/2017
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