Individual
DR. JOHN H CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1007 GOODYEAR AVE, GADSDEN, AL 35903-1195
(256) 413-6480
(256) 413-6493
Mailing address
PO BOX 5430, ANNISTON, AL 36205-0430
(256) 241-2276
(256) 238-0555
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
3974
AL
2086S0129X
Vascular Surgery Physician
3974
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000960
—
AL
05
—
009912177
—
AL
01
—
51000960
BC & BS OF AL
AL
01
—
510I020002
MEDICARE PTAN
AL
01
—
51537150
BC & BS OF AL
AL
01
—
51545249
BC & BS OF AL
AL
Enumeration date
05/01/2006
Last updated
02/22/2016
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