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MOORESVILLE PPM LLC NPI 1790110146


NPI Information

NPI: 1790110146
Provider Name: MOORESVILLE PPM LLC

Doing Business As: CAMPBELL SURGICAL

Classification: Surgery - 208600000X
Entity Type: Organization
Address:
123 PROFESSIONAL PARK DR STE 101
MOORESVILLE, NC
ZIP 28117
Phone: (704) 663-7905
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MOORESVILLE PPM LLC is a surgery in Mooresville, NC. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. MOORESVILLE PPM LLC NPI is 1790110146. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Campbell Surgical.

The provider's business location address is:

123 PROFESSIONAL PARK DR STE 101
MOORESVILLE, NC
ZIP 28117-516
Phone: (704) 663-7905
Fax: (704) 360-4954

The provider's authorized official is Jennifer L Jackson .
The authorized official title is Sr Dir Prov Enrollment & Onboarding and has the following contact phone number (615) 465-3334.

The enumeration date for this NPI number is 9/4/2013 and was last updated on 1/14/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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