Doctor Name: | DEBORAH ANN CAMPBELL |
NPI Number: | 1063892834 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RVT |
License Number: | ARDMS 10260 |
Business Practice Address: | 3706 Mcguire St Nw Kennesaw, GA - 301445267 |
Business Phone Number: | 7702188840 |
Business Fax Number: | |
Mailing Address: | 3706 Mcguire St Nw, KENNESAW |
State: | GA |
Postal Code: | 301445267 |
Phone Number: | 7702188840 |
Fax Number: | |
NPI Enumeration Date: | 06/05/2015 |
NPI Last Update Date: | 06/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2471V0105X |
License Number: | ARDMS 10260 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | Vascular Sonography |
Taxonomy Definition: |