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Contact Information

VICTORIA L CAMPBELL, RDN
117 COVENTRY LN
CANTON, MS39046-6610
 Phone: 662-212-2219
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Pediatric

133VN1004X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for VICTORIA L CAMPBELL · (Female)

NPI Number 1699036178
Status Active
Credentials RDN
Entity Individual
Enumeration date 05/31/2012
Last updated 08/05/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • MS License # D1688
  • TX License # DT82188
  • TX Medicaid 149984001
  • TX Medicaid 207164901
Hospital affiliation(s) Not Available
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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