Campbell, Angela Potter

Campbell, Angela Potter is an individual health care provider with primary practice located at 6401 Poplar Ave Ste 610 , Memphis TN 38119-4806. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Campbell, Angela Potter can be contacted via phone (901) 227-5045.

Contact Information

Primary practice address
6401 Poplar Ave Ste 610 Memphis TN 38119-4806
Phone: (901) 227-5045
Fax: (901) 224-5043
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 36512 Tennessee

Profile Details

NPI number 1710979596
LBN Legal business name Campbell, Angela Potter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Apr 10th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710979596 NPPES
Tennessee MEDICAID 3875694

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