Organization · NPI-2
Campbell Clinic PC
Durable Medical Equipment & Medical Supplies · Johnson City, TN
NPI number1487549895
StatusActive
Last updated in NPPESJun 9, 2025
Details
- NPI
- 1487549895
- Entity type
- Organization (NPI-2)
- Legal business name
- Campbell Clinic PC
- Organization subpart
- Yes
- Enumeration date
- Jun 9, 2025
- Certification date
- Jun 9, 2025
- Last updated
- Jun 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Practice location
3 Professional Park Dr Ste 21Johnson City, TN 37604-6529
Phone 423-844-6450
Mailing address
1400 S Germantown RdGermantown, TN 38138-2205
Phone 901-759-3100
Authorized official
Daniel Shumate
Ceo
9017593100
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