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1285841254
BRENT JEREMY CAMPBELL
HIXSON, TN
NPI
1285841254
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TN 2018)
Enumeration Date
2007-05-17
Last Update Date
2015-09-10
Business Address
Dr. BRENT JEREMY CAMPBELL D.O.
1025 EXECUTIVE DRIVE SUITE 100
HIXSON, TN 37343
Phone number: 423-778-9030
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Mailing Address
Dr. BRENT JEREMY CAMPBELL D.O.
975 E 3RD ST ATTN: PROVIDER ENROLLMENT
CHATTANOOGA, TN 37403-2147
Phone number: 423-778-5630
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