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NPI Code Detail

MEDICARE: JUDI CAMPBELL

MEDICARE: JUDI CAMPBELL
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
1208100000XPhysical Medicine & Rehabilitation Physician2009-00805NC

General Provider Information

NPI Number : 1326153073
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUDI CAMPBELL
Provider Business Mailing Address
First Line : 275 BEATTY DR
Second Line :
City : BELMONT
State : NC
Zip : 28012-2715
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 275 BEATTY DR
Second Line :
City : BELMONT
State : NC
Zip : 28012-2715
Country : US
Telephone Number : 704-355-9330
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2006
Last Update Date : 02/12/2019

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Directions to “ JUDI CAMPBELL ” Practice Location

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