Provider Demographics
NPI:1841566650
Name:CAMPBELL, EARL VENDRYES III (MD)
Entity type:Individual
Prefix:DR
First Name:EARL
Middle Name:VENDRYES
Last Name:CAMPBELL
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2500 HOSPITAL BLVD STE 130
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-4946
Mailing Address - Country:US
Mailing Address - Phone:470-267-1520
Mailing Address - Fax:770-999-2673
Practice Address - Street 1:2500 HOSPITAL BLVD STE 130
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-4946
Practice Address - Country:US
Practice Address - Phone:470-267-1520
Practice Address - Fax:770-999-2673
Is Sole Proprietor?:No
Enumeration Date:2012-03-26
Last Update Date:2023-12-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT64186207RG0100X
390200000X
GA86620207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program