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BRENT J CAMPBELL
1060 PEERLESS XING NW CLEVELAND TN 373123785
BRENT J CAMPBELL is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1285841254. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 2961556691. The primary specialty is OSTEOPATHIC MANIPULATIVE MEDICINE. The organization is SKYRIDGE CLINICAL ASSOCIATES LLC. The address is 1060 PEERLESS XING NW, , CLEVELAND, TN, 373123785. The zip code is 373123785.
|Nation Provider ID||1285841254|
|PAC ID by PECOS||2961556691|
|Professional Enrollment ID||I20090814000499|
|Name||BRENT J CAMPBELL|
|Medical School Name||LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE|
|Primary Specialty||OSTEOPATHIC MANIPULATIVE MEDICINE|
|All secondary specialties||FAMILY PRACTICE, PSYCHIATRY|
|Organization Name||SKYRIDGE CLINICAL ASSOCIATES LLC|
|Group Practice PAC ID||3779662960|
|Number of Group Practice members||15|
|Address||1060 PEERLESS XING NW, , CLEVELAND, TN, 373123785|
|Hospital affiliation LBN||MEMORIAL HEALTH CARE SYSTEM INC.|