Individual
DERRICK CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
5717 GA HIGHWAY 21 S, RINCON, GA 31326-5554
(912) 297-6539
(912) 500-2970
Mailing address
PO BOX 757, GUYTON, GA 31312-0757
(912) 297-6539
(912) 500-2970
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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