Campbell, Robert David
Campbell, Robert David is an sole proprietor health care provider with primary practice located at 1005 Boulder Dr , Gray GA 31032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Campbell, Robert David can be contacted via phone (478) 621-2100.Contact Information
Primary practice address
1005 Boulder Dr
Gray GA 31032
Phone: (478) 621-2100
Fax: (478) 744-0481
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 022522 | Georgia |
Profile Details
| NPI number | 1609843812 |
|---|---|
| LBN Legal business name | Campbell, Robert David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 7th, 2006 |
| Last updated | Jul 3rd, 2019 - about 6 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 | 1609843812 | NPPES |
| Georgia | MEDICAID | 000226366B |
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