Campbell, Charlaya D
Campbell, Charlaya D is an sole proprietor health care provider with primary practice located at 100 Highway 18 W Suite 201, Barnesville GA 30204-1171. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Campbell, Charlaya D can be contacted via phone (678) 359-1700.Contact Information
Primary practice address
100 Highway 18 W Suite 201
Barnesville GA 30204-1171
Phone: (678) 359-1700
Fax: (706) 647-3861
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 64905 | Georgia |
Profile Details
| NPI number | 1568636322 |
|---|---|
| LBN Legal business name | Campbell, Charlaya D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 14th, 2008 |
| Last updated | Oct 2nd, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568636322 | NPPES |
| Georgia | MEDICAID | 003100702B |
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