Individual provider · NPI-1
Marcia B Campbell, CNA
Nurse's Aide · Lithonia, GA
NPI number1053926576
StatusActive
Last updated in NPPESSep 11, 2020
Details
- NPI
- 1053926576
- Entity type
- Individual (NPI-1)
- Name
- Marcia B Campbell
- Credential
- CNA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 11, 2020
- Certification date
- Sep 11, 2020
- Last updated
- Sep 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376K00000X | Nurse's Aide | – | – | Yes |
Practice location
7002 Annie WalkLithonia, GA 30038-4675
Phone 813-312-3848 · Fax 470-300-7778
Mailing address
7002 Annie WalkLithonia, GA 30038-4675
Phone 813-312-3848 · Fax 470-300-7778
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