Campbell, Gary L

Campbell, Gary L is an individual health care provider with primary practice located at 243 Maple Creek Dr , Newnan GA 30263-7047. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Campbell, Gary L can be contacted via phone (321) 287-3048.

Contact Information

Primary practice address
243 Maple Creek Dr Newnan GA 30263-7047
Phone: (321) 287-3048
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 212903 Georgia

Profile Details

NPI number 1639378532
LBN Legal business name Campbell, Gary L
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2007
Last updated Feb 21st, 2022 - about 2 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 1639378532 NPPES
Florida MEDICAID 308547300
Florida Other G4333

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