Individual
MAURA L CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1411 W BADDOUR PKWY, LEBANON, TN 37087-2513
(615) 443-6006
(615) 443-6086
Mailing address
115 WINWOOD DR, SUITE 201, LEBANON, TN 37087-1340
(615) 443-6838
(615) 547-9782
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
01043524A
IN
2085R0001X
Radiation Oncology Physician
19237
AL
2085R0001X
Radiation Oncology Physician
25462
TN
2085R0001X
Radiation Oncology Physician
31391
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3045571
BCBS GROUP
—
Enumeration date
08/16/2006
Last updated
01/17/2024
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