MEDICARE: CAMPBELL QUINN DAFFIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1831037456
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAMPBELL QUINN DAFFIN

Provider Business Mailing Address
First Line	:	606 LAUREL HILL CIR
Second Line	:
City	:	RICHMOND HILL
State	:	GA
Zip	:	31324-4295
Country	:	US
Telephone Number	:	843-437-8883
Fax Number	:

Provider Business Practice Location Address
First Line	:	499 S COLUMBIA AVE
Second Line	:
City	:	RINCON
State	:	GA
Zip	:	31326-9446
Country	:	US
Telephone Number	:	912-826-2402
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2026
Last Update Date	:	03/24/2026

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Directions to “ CAMPBELL QUINN DAFFIN ” Practice Location

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