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Contact Information

MICHAEL A CAMPBELL
4550 AMYSAYE WALK NW
ACWORTH, GA30101-8342
 Phone: 404-917-7992
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Personal Care Attendant

3747P1801X
 

Adult Companion

372600000X
 

Home Health Aide

374U00000X
Indicates primary specialty

NPI Profile & details for MICHAEL A CAMPBELL · (Male)

NPI # 1154891877
Status Active
Credentials
Entity Individual
Enumeration date 11/26/2018
Last updated 11/26/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 404144
  • GA Other 404144 STATE ISSUE NUMBER
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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