Campbell, Dereck G

Campbell, Dereck G is an individual health care provider with primary practice located at 222 Oak St , Mountain City TN 37683-1526. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Campbell, Dereck G can be contacted via phone (423) 727-6319.

Contact Information

Primary practice address
222 Oak St Mountain City TN 37683-1526
Phone: (423) 727-6319
Fax: (423) 727-4164
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2271 Tennessee

Profile Details

NPI number 1588904650
LBN Legal business name Campbell, Dereck G
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2013
Last updated Feb 26th, 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.

Request for update

Popular Providers