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
Fax: (770) 704-0223
Website:

Health care specialties

SpecialtyCodeLicense #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 11 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 1104990258 NPPES
Georgia MEDICAID 411013961A

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