Campbell, Diedre

Campbell, Diedre is an individual health care provider with primary practice located at 6561 Shaffers Way , Lithonia GA 30058-6427. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Campbell, Diedre can be contacted via phone (404) 587-8521.

Contact Information

Primary practice address
6561 Shaffers Way Lithonia GA 30058-6427
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN195393 Georgia

Profile Details

NPI number 1154856821
LBN Legal business name Campbell, Diedre
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2017
Last updated May 1st, 2017 - about 7 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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