Organization
CHARLES W CAMPBELL MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES W CAMPBELL M.D. (OWNER)
(662) 834-1722
Entity
Organization
Contact information
Practice address
102 CARROLLTON AVE, LEXINGTON, MS 39095-3250
(662) 834-1721
Mailing address
102 CARROLLTON AVE, LEXINGTON, MS 39095-3250
(662) 834-1721
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
04488
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02187313
—
MS
05
—
09014433
—
MS
Enumeration date
05/04/2007
Last updated
06/25/2015
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