Theadora Devone Campbell in Fayetteville - Physician Assistant
Theadora Devone Campbell - NPI 1689635377
Theadora Devone Campbell is a Physician Assistant in Fayetteville, North Carolina. Theadora Devone Campbell practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Theadora Devone Campbell is 1689635377. The last update date is 2007-07-08.
Theadora Devone Campbell's current location address is 2300 Ramsey St, Fayetteville, North Carolina. You can contact this provider via phone number 9104882120. The mailing address for Theadora Devone Campbell is 2300 Ramsey St, Fayetteville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theadora Devone Campbell |
|---|---|
| Address | 2300 Ramsey St, Fayetteville, North Carolina |
| Phone Number | 9104882120 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1689635377 |
|---|---|
| Provider Enumeration Date | 2006-03-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2300 Ramsey St |
|---|---|
| City | Fayetteville |
| State | North Carolina (NC) |
| Post Code | 283013856 |
| Phone Number | 9104882120 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 102996 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique identification code assigned to Theadora Devone Campbell by the Centers for Medicare & Medicaid Services?
The Theadora Devone Campbell has been issued the NPI (National Provider Identifier) 1689635377. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Theadora Devone Campbell's facilities are geographically located?
The facilities of Theadora Devone Campbell are physically situated at the following location: 2300 Ramsey St, Fayetteville, NC, 283013856.
What is Theadora Devone Campbell's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Theadora Devone Campbell's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
What is Theadora Devone Campbell's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Theadora Devone Campbell is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1689635377 to Theadora Devone Campbell?
The Centers for Medicare & Medicaid Services assigned the 1689635377 to Theadora Devone Campbell on 2006-03-31.