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Dr. Laura Ivey Campbell

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NPI Number Detailed Information

Provider Information:

Name: Dr. Laura Ivey Campbell
Gender: F
Provider License Number If Given: 10205

NPI Information:

NPI: 1396748323
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/23/2005

Last Update Date: 11/21/2018

Provider Business Mailing Address:

Address: 411 DERBYSHIRE CT
Morristown, TN 37814
Phone Number: 4235879344
Fax Number:

Provider Business Practice Location Address:

Address: 272 HIGHWAY 11 E
Bulls Gap, TN 37711
Phone Number: 4232356263
Fax Number: 4232354792

Provider Taxonomy:

Primary: 183500000X
Secondary (if any):
State: TN

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