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Individual

TERRY DEAN CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
120 RIVERVIEW ST, FRANKLIN, NC 28734-2612
(828) 369-4231
Mailing address
72 E MCNAB RD, POMPANO BEACH, FL 33060-9238
(954) 545-0337
(954) 545-3497

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
124392
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8050184
NC
01
P00261910
RAILROAD MEDICARE
NC
Enumeration date
06/28/2006
Last updated
07/08/2007
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