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General NPI Number Information
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NPI Number | 1831202803
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Entity Type | Individual
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Provider Name | MAURA L CAMPBELL M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 01/17/2024
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Provider Practice Location Address
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Address Line | 1411 W BADDOUR PKWY
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City | LEBANON
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State | TN
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Zip | 37087-2513
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Country | US
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Telephone | 615-443-6006
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Fax | 615-443-6086
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Provider Business Mailing Address
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Address Line | 115 WINWOOD DR SUITE 201
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City | LEBANON
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State | TN
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Zip | 37087-1340
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Country | US
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Telephone | 615-443-6838
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Fax | 615-547-9782
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 19237
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 31391
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 01043524A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 25462
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License Number State | TN
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