Individual provider · NPI-1

Eleanor Walaitis Campbell, D.O.

Family Medicine · Suwanee, GA

NPI number1154318004
StatusActive
Last updated in NPPESJul 13, 2026

Details

NPI
1154318004
Entity type
Individual (NPI-1)
Name
Eleanor Walaitis Campbell
Credential
D.O.
Sex
Female
Sole proprietor
No
Enumeration date
Oct 5, 2005
Last updated
Jul 13, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine033741GAYes

Other names

  • Ellie J Walaitis (Former Name)

Practice location

3925 Johns Creek Ct
Suite A
Suwanee, GA 30024-1265

Phone 678-474-4742 · Fax 678-474-0095

Mailing address

3925 Johns Creek Ct
Suite A
Suwanee, GA 30024-1265

Phone 678-474-4742 · Fax 678-474-0095

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