Doctor Name: | DR. DIANE L CAMPBELL |
NPI Number: | 1215935838 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | MD25069 |
Business Practice Address: | 108 Gay St Erwin, TN - 376501228 |
Business Phone Number: | 4237438400 |
Business Fax Number: | 4237436888 |
Mailing Address: | Po Box 759, ERWIN |
State: | TN |
Postal Code: | 376500759 |
Phone Number: | 4237438400 |
Fax Number: | 4237436888 |
NPI Enumeration Date: | 07/08/2005 |
NPI Last Update Date: | 07/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD25069 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |