Individual
TIMOTHY DANIEL CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
103 ELM ST, SOUTH POINT, OH 45680-8704
(216) 334-6849
Mailing address
103 ELM ST, SOUTH POINT, OH 45680-8704
(216) 334-6849
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
UZ583716
OH
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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