Campos, Amy Tackett
Campos, Amy Tackett is an individual health care provider with primary practice located at Medical Center Blvd , Winston Salem NC 27157-0001. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Campos, Amy Tackett can be contacted via phone (336) 716-2255.Contact Information
Primary practice address
Medical Center Blvd
Winston Salem NC 27157-0001
Phone: (336) 716-2255
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 2010-00136 | North Carolina |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 2010-00136 | North Carolina |
Profile Details
| NPI number | 1922281310 |
|---|---|
| LBN Legal business name | Campos, Amy Tackett |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 10th, 2007 |
| Last updated | Aug 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922281310 | NPPES |
| North Carolina | MEDICAID | 5914827 |
Popular Providers
-
Suyderhoud, Johan
Medical Center Blvd , Winston Salem NC 27157-0001 -
Olympio, Michael Allen
Medical Center Blvd , Winston Salem NC 27157-0001 -
Thomas, John Andrew
Medical Center Blvd , Winston Salem NC 27157-0001 -
Guidetti, Richard Raymond
Medical Center Blvd , Winston Salem NC 27157-0001 -
Clyne, Brittany Bergin
Medical Center Blvd , Winston Salem NC 27157 -
Templeton, Thomas Wesley
Medical Center Blvd , Winston Salem NC 27157-0001 -
Bullard, Graham Wesley
Medical Center Blvd , Winston Salem NC 27157-5812 -
D'Angelo, Robert
3333 Silas Creek Pkwy , Winston Salem NC 27103-3013