Provider Demographics
NPI:1982172615
Name:CAMPBELL, DAVID MATTHEW (DC)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:MATTHEW
Last Name:CAMPBELL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 W KING ST STE 101
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-3543
Mailing Address - Country:US
Mailing Address - Phone:828-264-6474
Mailing Address - Fax:828-264-6473
Practice Address - Street 1:330 W KING ST STE 101
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-3543
Practice Address - Country:US
Practice Address - Phone:828-264-6474
Practice Address - Fax:828-264-6473
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-12
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3157111N00000X
NC5393111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor