Healthcare Provider Details

I. General information

NPI: 1144333402
Provider Name (Legal Business Name): DRS CAMPBELL & WHITAKER LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 05/22/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1127 NORTH 29TH STREET
RICHMOND VA
23223
US

IV. Provider business mailing address

PO BOX 7967 1127 NORTH 29TH STREET
RICHMOND VA
23223
US

V. Phone/Fax

Practice location:
  • Phone: 804-648-6153
  • Fax: 804-780-0389
Mailing address:
  • Phone: 804-648-6153
  • Fax: 804-780-0389

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMES ASHTON CAMPBELL SR.
Title or Position: PRESIDENT
Credential: MD
Phone: 804-648-6153