Campbell, Charlie

Campbell, Charlie is an sole proprietor health care provider with primary practice located at 256 Mcmillan Rd , Dacula GA 30019-2337. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Campbell, Charlie can be contacted via phone (770) 353-9660.

Contact Information

Primary practice address
256 Mcmillan Rd Dacula GA 30019-2337
Phone: (770) 353-9660
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Georgia

Profile Details

NPI number 1881320083
LBN Legal business name Campbell, Charlie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2022
Last updated Jul 28th, 2022 - about 3 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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