Campbell, Theadora Devone
Campbell, Theadora Devone is an individual health care provider with primary practice located at 2300 Ramsey St , Fayetteville NC 28301-3856. 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, Theadora Devone can be contacted via phone (910) 488-2120.Contact Information
Primary practice address
2300 Ramsey St
Fayetteville NC 28301-3856
Phone: (910) 488-2120
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 102996 | North Carolina |
Profile Details
| NPI number | 1689635377 |
|---|---|
| LBN Legal business name | Campbell, Theadora Devone |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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