Individual
MR. RAY CHARLES CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
705 DIXIE ST, CARROLLTON, GA 30117
(770) 836-9806
Mailing address
119 AMBULANCE DR STE 202, CARROLLTON, GA 30117-3857
(770) 838-9806
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R087464
GA
Other
Enumeration date
04/26/2006
Last updated
06/25/2010
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