Campbell, Charles Walton

Campbell, Charles Walton is an individual health care provider with primary practice located at 102 Carrollton St , Lexington MS 39095. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Campbell, Charles Walton can be contacted via phone (662) 834-1721.

Contact Information

Primary practice address
102 Carrollton St Lexington MS 39095
Phone: (662) 834-1721
Fax: (662) 834-1721
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 04488 Mississippi

Profile Details

NPI number 1619069622
LBN Legal business name Campbell, Charles Walton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619069622 NPPES
Other 258908 RHC PROVIDER
MEDICAID 0011518 RHC PROVIDER

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