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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 |
