Diana Glover-Campbell in Statesville - Mastectomy Fitter

Diana Glover-Campbell - NPI 1285826065

Diana Glover-Campbell is a Mastectomy Fitter in Statesville, North Carolina. Diana Glover-Campbell practices all healthcare services and medical treatments related to Mastectomy Fitter. The NPI Number for Diana Glover-Campbell is 1285826065. The last update date is 2013-01-11.

Diana Glover-Campbell's current location address is 520 Brookdale Dr, Statesville, North Carolina. You can contact this provider via phone number 7048721037 and fax number 7048721987. The mailing address for Diana Glover-Campbell is 520 Brookdale Dr, Statesville, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Diana Glover-Campbell
Address 520 Brookdale Dr, Statesville, North Carolina
Phone Number 7048721037
Fax Number 7048721987
Sole Proprietor N
Credentials CO, CPED,

NPI Number Detail

NPI Number 1285826065
Provider Enumeration Date 2007-08-15
Last Updated Date 2013-01-11

Provider Mailing Address Detail

Address 520 Brookdale Dr
City Statesville
State North Carolina (NC)
Post Code 286774108
Phone Number 7048721037
Fax Number 7048721987

Provider's Primary Taxonomy Detail

Speciality Mastectomy Fitter
Taxonomy 224900000X
Licence No CFM02153
Definition:
An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7795135 NC --
7704084 NC --
7795136 NC --
7795450 NC --

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FAQs about Diana Glover-Campbell

What is the unique identifier code issued to Diana Glover-Campbell by the Centers for Medicare & Medicaid Services (CMS)?

The Diana Glover-Campbell has been assigned the NPI (National Provider Identifier) 1285826065. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Diana Glover-Campbell's facilities are situated?

The facilities of Diana Glover-Campbell are physically located at the following address: 520 Brookdale Dr, Statesville, NC, 286774108.

What is the area of specialization for Diana Glover-Campbell, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Diana Glover-Campbell is Mastectomy Fitter, and the corresponding taxonomy code that categorizes this area of expertise is 224900000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1285826065 to Diana Glover-Campbell?

The Centers for Medicare & Medicaid Services originally issued the 1285826065 to Diana Glover-Campbell on 2007-08-15.

As of what date were the details pertaining to Diana Glover-Campbell last refreshed?

The information related to the Diana Glover-Campbell, including its address, specialty, and other relevant details, was last updated on 2013-01-11.

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