Individual
DIANNE Q CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1170 SHAWNEE ST, SAVANNAH, GA 31419-1618
(912) 920-0214
Mailing address
1170 SHAWNEE ST, SAVANNAH, GA 31419-1618
(912) 920-0214
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036933
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00557334B
—
GA
01
—
08BBWKC
MEDICARE
GA
Enumeration date
07/26/2006
Last updated
07/21/2022
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