Provider Demographics
NPI:1013339811
Name:ANNE-MARIE CAMPBELL, LLC
Entity Type:Organization
Organization Name:ANNE-MARIE CAMPBELL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANNE-MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:770-452-0022
Mailing Address - Street 1:1745 OLD SPRING HOUSE LN
Mailing Address - Street 2:SUITE418
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338-6216
Mailing Address - Country:US
Mailing Address - Phone:770-452-0022
Mailing Address - Fax:770-452-7286
Practice Address - Street 1:1745 OLD SPRING HOUSE LN
Practice Address - Street 2:SUITE418
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30338-6216
Practice Address - Country:US
Practice Address - Phone:770-452-0022
Practice Address - Fax:770-452-7286
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-13
Last Update Date:2014-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACJIR009059261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center