Campbell, Garth Seamus
Campbell, Garth Seamus is an individual health care provider with primary practice located at 2500 N State St Radiology Department, Jackson MS 39216. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Campbell, Garth Seamus can be contacted via phone (601) 984-2695.Contact Information
Primary practice address
2500 N State St Radiology Department
Jackson MS 39216
Phone: (601) 984-2695
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 22033 | Mississippi |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 22033 | Mississippi |
Profile Details
| NPI number | 1104078567 |
|---|---|
| LBN Legal business name | Campbell, Garth Seamus |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 16th, 2008 |
| Last updated | Jun 28th, 2018 - about 8 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 | 1104078567 | NPPES |
| Alabama | MEDICAID | 180301 | |
| Alabama | MEDICAID | 06150219 | |
| Alabama | Other | 22033 |
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