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Contact Information

LYNNDA J CAMPBELL, FNP C
2920 MARIETTA HWY
STE 142
CANTON, GA30114
 Phone: 770-704-0057
 Fax: 770-704-0223
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for LYNNDA J CAMPBELL · (Female)

NPI Number 1104990258
Status Active
Credentials FNP C
Entity Individual
Enumeration date 11/20/2006
Last updated 02/25/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • GA License # RN126988NP
  • GA Medicaid 411013961A
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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