Individual
DR. TIMOTHY JOHN CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1144 PROFESSIONAL DR, WILLIAMSBURG, VA 23185-3330
(757) 259-0443
(757) 259-0450
Mailing address
PO BOX 603725, CHARLOTTE, NC 28260-3725
(828) 575-2625
(828) 350-2174
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
0101256237
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891923074
—
VA
01
—
VVF112A
MEDICARE PTAN
VA
Enumeration date
06/26/2009
Last updated
11/01/2023
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