MEDICARE: DR. ANNE-MARIE CAMPBELL D.C.

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	111N00000X	Chiropractor	CHIRO09059	GA
2	111NP0017X	Pediatric Chiropractor	CHIRO09059	GA

General Provider Information

NPI Number	:	1932446572
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNE-MARIE CAMPBELL D.C.

Provider Business Mailing Address
First Line	:	1745 OLD SPRING HOUSE LN
Second Line	:	SUITE 418
City	:	DUNWOODY
State	:	GA
Zip	:	30338-6216
Country	:	US
Telephone Number	:	770-452-0022
Fax Number	:	770-452-7286

Provider Business Practice Location Address
First Line	:	1745 OLD SPRING HOUSE LN
Second Line	:	SUITE 418
City	:	DUNWOODY
State	:	GA
Zip	:	30338-6216
Country	:	US
Telephone Number	:	770-452-0022
Fax Number	:	770-452-7286

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

Provider Enumeration Date	:	01/15/2013
Last Update Date	:	01/14/2014

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