Campbell, Lynnda Joy
Campbell, Lynnda Joy is an individual health care provider with primary practice located at 2920 Marietta Hwy Ste 142, Canton GA 30114. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Campbell, Lynnda Joy can be contacted via phone (770) 704-0057.Contact Information
Primary practice address
2920 Marietta Hwy Ste 142
Canton GA 30114
Phone: (770) 704-0057
Fax: (770) 704-0223
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN126988NP | Georgia |
Profile Details
NPI number | 1104990258 |
---|---|
LBN Legal business name | Campbell, Lynnda Joy |
Credentials | FNP C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 20th, 2006 |
Last updated | Feb 25th, 2013 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1104990258 | NPPES |
Georgia | MEDICAID | 411013961A |
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