Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | CHIRO09059 | GA |
N | 111NP0017X | Pediatric Chiropractor | CHIRO09059 | GA |
NPI | 1932446572 |
---|---|
Provider Name | Dr. Anne-Marie Campbell |
First Address | Dunwoody, GA 30338-6216 |
Second Address | Dunwoody, GA 30338-6216 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2013 |
Last Update Date | 14/01/2014 |