| NPI | 1093146078 |
|---|---|
| Former Legal Business Name | JULIAN H. CAMPBELL CORP |
| Entity Type | Organization |
| Authorized Contact | JAMES E CARTER Owner/President 770-826-4233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: GA DN010592) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: GA DN010102) |
| 261QD0000X Clinic/Center, Dental (Licence: GA DN013011) | |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2013-12-02 |