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NPI Code Detail

MEDICARE: DR. WALTER D CAMPBELL MD, MS

MEDICARE: DR. WALTER D CAMPBELL MD, MS
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
1208000000XPediatrics Physician036040823IL
2208000000XPediatrics Physician31731MS

General Provider Information

NPI Number : 1427138098
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WALTER D CAMPBELL MD, MS
Provider Business Mailing Address
First Line : 114 N LEHMBERG RD
Second Line :
City : COLUMBUS
State : MS
Zip : 39702-5554
Country : US
Telephone Number : 662-329-2955
Fax Number : 662-370-1236
Provider Business Practice Location Address
First Line : 114 N LEHMBERG RD
Second Line :
City : COLUMBUS
State : MS
Zip : 39702-5554
Country : US
Telephone Number : 662-329-2955
Fax Number : 662-370-1236
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2006
Last Update Date : 07/11/2023

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