Provider Demographics
NPI:1952692352
Name:CAMPBELL, CAREY FABER (MD)
Entity type:Individual
Prefix:
First Name:CAREY
Middle Name:FABER
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 HUMPHREYS CENTER DR
Mailing Address - Street 2:STE 100
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38120-2352
Mailing Address - Country:US
Mailing Address - Phone:901-483-5011
Mailing Address - Fax:
Practice Address - Street 1:80 HUMPHREYS CENTER DR STE 100
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38120-2352
Practice Address - Country:US
Practice Address - Phone:901-761-9030
Practice Address - Fax:901-761-9591
Is Sole Proprietor?:No
Enumeration Date:2011-04-20
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY288961208200000X
TN57221208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery