Annyce R. Campbell M.D., Pa.

LBN: Annyce R. Campbell M.D., Pa.
Annyce R. Campbell M.D., Pa. is an health care organization with primary practice located at 4510 Hanging Moss Rd , Jackson MS 39206-3962. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Annyce R. Campbell M.D., Pa. can be contacted via phone (769) 257-5713, or through Campbell, Annyce Ramona via phone (769) 257-5713.

Contact Information

Primary practice address
4510 Hanging Moss Rd Jackson MS 39206-3962
Fax: (769) 257-5715
Website:
Authorized official contact:
Name: Campbell, Annyce Ramona Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 08563 Mississippi

Profile Details

NPI number 1063812683
LBN Legal business name Annyce R. Campbell M.D., Pa.
DBA Doing business as
Authorized official Campbell, Annyce Ramona Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 2nd, 2014
Last updated Sep 2nd, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063812683 NPPES
Mississippi MEDICAID 00012698

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