Campbell, Kristin Davis

Campbell, Kristin Davis is an individual health care provider with primary practice located at 901 18Th St E , Tifton GA 31794-3648. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Campbell, Kristin Davis can be contacted via phone (229) 353-6051.

Contact Information

Primary practice address
901 18Th St E Tifton GA 31794-3648
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 005040 Georgia

Profile Details

NPI number 1407064090
LBN Legal business name Campbell, Kristin Davis
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2007
Last updated Nov 30th, 2020 - about 6 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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