DR. CHARLES WHITFIELD CAMPBELL JR.


Address: 86 S Cobb Dr Se, Mail Drop 0454, Marietta, GA 30063-0454
Phone: 7704945001

DR. CHARLES WHITFIELD CAMPBELL JR. (NPI# 1114929486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114929486
Entity Type Individual
Full Name DR. CHARLES WHITFIELD CAMPBELL JR.
Credential M.D.
Practice Address 86 S Cobb Dr Se
Mail Drop 0454
Marietta
GA 30063-0454
Practice Telephone 7704945001
Practice Fax Number 7704947490
Mailing Telephone 7704945001
Mailing Fax Number 7704947490
Enumeration Date 2005-06-01
Last Update Date 2013-12-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine MA51936 NJ Allopathic & Osteopathic Physicians

Other Providers CHARLES CAMPBELL

NPI Name Taxonomy Address Enumeration
1114259389 Charles Ladoue Campbell General Practice 1457 Woodside Ct S, Chesapeake, VA 23320-2723 2010-02-12
1740513431 Charles Douglas Campbell Jr. Driver 2018 217th St, Sauk Village, IL 60411-4521 2009-09-11
1730205295 Charles Emery Campbell Dentist 2426 Center St, Deer Park, TX 77536-4902 2007-03-22
1619069622 Charles Walton Campbell Family Medicine 102 Carrollton St, Lexington, MS 39095 2006-09-28
1730280769 Charles Edward Campbell IIi Dentist 151 W Airport Blvd, Pensacola, FL 32505 2006-09-25
1407967904 Charles Peter Campbell Pharmacist 1606 Woodside Ave, Essexville, MI 48732-1459 2006-08-31
1154395705 Charles H Campbell Ophthalmology 5540 Saratoga Blvd, Suite 200, Corpus Christi, TX 78413-2953 2006-02-13
1578068334 Charles Frank Campbell Student in an Organized Health Care Education/Training Program 800 Rose St # C-246, Lexington, KY 40536-0293 2018-03-26
1952777088 Charles Wellington Campbell Nurse Anesthetist, Certified Registered 2160 S 1st Ave, Maywood, IL 60153-3328 2015-08-12
1437592383 Charles Robert Campbell Iv Internal Medicine 525 E Market St, Akron, OH 44304-1619 2013-04-10

Office Location

Street Address 86 S COBB DR SE
MAIL DROP 0454
City MARIETTA
State GA
Zip Code 30063-0454

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053825844 Lockheed Martin Clinic/Center 86 S Cobb Dr Se Bldg 95, Marietta, GA 30063-0001 2017-12-01
1497269252 Lockheed Martin Company Clinic/Center 86 S Cobb Dr Se Bldg T687, Marietta, GA 30063-0001 2017-11-30
1417111931 Sharon R. Williams Emergency Medical Technician, Intermediate 86 S Cobb Dr, Marietta, GA 30063-0001 2008-07-14
1154584548 Lockheed Martin Corporation Clinic/Center 86 S Cobb Dr Se Bldg T660, Marietta, GA 30063-0001 2008-07-07
1154584555 Kathy C Isley Radiologic Technologist Lockheed Martin Aeronautics Co, 86 South Cobb Drive, Dept Re2m, Zone 0454, Marietta, GA 30063-0001 2008-07-07
1821268897 Kim Jane Bruner Nurse Practitioner Lockheed Martin, 86 S Cobb Dr, Marietta, GA 30063-0001 2008-03-06
1518278696 Onsite Occmed Pa Clinic/Center 86 S Cobb Dr, Mz: 0446, Marietta, GA 30063-0001 2010-06-23
1245466309 Select Physical Therapy Holdings Inc Clinic/Center 86 S Cobb Dr, Marietta, GA 30063-0001 2009-06-03

Providers in the same city

NPI Name Taxonomy Address Enumeration
1952902835 Physicans At Home, LLC Case Management 1850 Blackwater Dr, Marietta, GA 30066-6712 2020-11-05
1386245249 Aaron D Young Chiropractor 860 Baltimore Pl Sw, Marietta, GA 30064-3959 2020-11-05
1619578051 Pamela D Kretzmer Social Worker 3855 Shallowford Road, Suite 420, Marietta, GA 30062 2020-11-03
1831790435 Li Ma Chiropractor 376 Powder Springs St Ste 141, Marietta, GA 30064-3460 2020-11-02
1427659028 My Emergency Dental Ga, LLC Dentist 4811 Lower Roswell Rd Ste 108, Marietta, GA 30068-4345 2020-11-02
1629677455 Amy Lynn Patterson Nurse Practitioner 254 Senna St, Marietta, GA 30064-4417 2020-10-22
1831798917 Barbara Ann Goldschmidt Pharmacist 4088 Lower Roswell Rd, Marietta, GA 30068 2020-10-20
1619576931 Dzintra Leblanc Nurse Practitioner 2583 Ballew Ct Ne, Marietta, GA 30062-4424 2020-10-19
1205435575 Angelic Touch Cares, LLC Nursing Care 1705 Bertram Ln Sw, Marietta, GA 30008-4141 2020-10-19
1073111654 Mary V Byrd Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 37 Sterling Rd, Marietta, OH 45750 2020-10-15
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053885327 Clinica De La Salud Smyrna, Inc Family Medicine 1815 S Cobb Dr Se Ste 101, Marietta, GA 30060-4958 2019-01-19
1033689351 H&h Weight Loss LLC Family Medicine 3600 Dallas Hwy Sw Ste 210, Marietta, GA 30064-1687 2018-11-29
1801380886 Virginia Hinton Family Medicine 1738 Bertram Ln Sw, Marietta, GA 30008-4138 2018-06-21
1285145573 Mitchell Scott Nudelman Family Medicine 577 Seminole Dr Ne, Marietta, GA 30060-1507 2017-10-13
1740649771 Christine Morris Family Medicine 141 Lacy St Nw Ste 100, Marietta, GA 30060-1117 2016-02-18
1891110268 Edith I. Okoi Chukwunyere Family Medicine 2337 Goodwood Dr Sw, Marietta, GA 30064-4335 2014-02-21
1629407549 Candace M. Walker Family Medicine 3707 Largent Way, Well Star West Cobb Family Practice, Marietta, GA 30064 2013-11-01
1982959987 Norman Glenn Marvin Family Medicine 4220 Lower Roswell Rd, Unit #7300, Marietta, GA 30068-4128 2012-07-17
1457626855 Gena Marie Mastrogianakis Family Medicine 3595 Canton Rd Ste 116-289, Marietta, GA 30066-2658 2012-03-19
1710271010 Roland Ngwang Family Medicine 2698 Foxglove Dr Sw, Marietta, GA 30064-4546 2011-06-03
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City MARIETTA
Zip Code 30063

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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