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Contact Information

DIANA GLOVER CAMPBELL, CO, CPED, CFM
520 BROOKDALE DR
LOWER LEVEL
STATESVILLE, NC28677-4108
 Phone: 704-872-1037
 Fax: 704-872-1987
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Mastectomy Fitter

224900000X
 

Orthotist

222Z00000X 55 Individual Certified Orthotist
 

Pedorthist

224L00000X
Indicates primary specialty

NPI Profile & details for DIANA GLOVER CAMPBELL · (Female)

NPI # 1285826065
Status Active
Credentials CO, CPED, CFM
Entity Individual
Enumeration date 08/15/2007
Last updated 01/11/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • DE License # CFM02153
  • DE License # CPED0524
  • MD License # C15207
  • NC Medicaid 7704084
  • NC Medicaid 7795135
  • NC Medicaid 7795136
  • NC Medicaid 7795450
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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