Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 621386564 | TN |
NPI | 1134136625 |
---|---|
Provider Name | Dr. Susan B. Campbell |
First Address | Nashville, TN 37203-1954 |
Second Address | Nashville, TN 37203-1538 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2006 |
Last Update Date | 10/05/2010 |