Campbell, Richard D

Campbell, Richard D is an individual health care provider with primary practice located at 1620 Prince Ave , Athens GA 30606-6008. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as his primary health care specialty. Campbell, Richard D can be contacted via phone (770) 868-5644.

Contact Information

Primary practice address
1620 Prince Ave Athens GA 30606-6008
Phone: (770) 868-5644
Fax: (770) 868-5650
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 048030 Georgia

Profile Details

NPI number 1932180759
LBN Legal business name Campbell, Richard D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Feb 22nd, 2010 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1932180759 NPPES
Georgia Other 0683833 CIGNA
Georgia Other 800610 CIGNA
Georgia Other 230000000 CIGNA
Georgia Other 464731 CIGNA
Georgia Other P00631288 CIGNA
Georgia MEDICAID 000906672 CIGNA

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