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Contact Information

GARTH S CAMPBELL, MD
2500 N STATE ST
RADIOLOGY DEPARTMENT
JACKSON, MS39216
 Phone: 601-984-2695
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for GARTH S CAMPBELL · (Male)

NPI Number 1104078567
Status Active
Credentials MD
Entity Individual
Enumeration date 10/16/2008
Last updated 06/28/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 22033
  • AL Medicaid 180301
  • MS Medicaid 06150219
  • MS Other 22033 MISSISSIPPI LICENSE NUMBER
Hospital affiliation(s)
  • UNIVERSITY OF MISSISSIPPI MED CENTER - (Acute Care)
    2500 N STATE ST
    JACKSON, MS 39216
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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