| Organization Name: | CAMPBELL MEDICAL GROUP, MD, PSC |
| NPI Number: | 1003000803 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JENNIFER DALTON GIBSON (OFFICE MANAGER) |
| Mailing Address: | 303 Professional Park Dr Glasgow |
| State: | KY US |
| Postal Code: | 421413487 |
| Phone Number: | 2706293772 |
| Fax Number: | 2706293774 |
| NPI Enumeration Date: | 09/05/2007 |
| NPI Last Update Date: | 12/05/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RA0000X |
| License Number: | 34221 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Adolescent Medicine |
| Taxonomy Definition: | An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |