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Individual

MR. ARDER 'SCOTT' CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
1640 EVA MAE DR, RALEIGH, NC 27610-4443
(800) 362-0903
(866) 434-5096
Mailing address
10505 CRISP DR, RALEIGH, NC 27614-7771
(919) 847-8753
(919) 847-8753

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8299
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14979
BLUECROSS BLUESHIELD OF NORTH CAROLINA
NC
Enumeration date
07/10/2008
Last updated
03/01/2010
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