Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 25002 | NC |
Y | 208600000X | Surgeon | 25002 | NC |
NPI | 1003891326 |
---|---|
Provider Name | Francis Michael Campbell |
First Address | Mooresville, NC 28117-5516 |
Second Address | Mooresville, NC 28117-5516 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/12/2005 |
Last Update Date | 03/11/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
20967 | BC (01) | NC |
8920967 | (05) | NC |
E00449 | (02) |