Provider Demographics
NPI:1437262797
Name:CAMPBELL, JAMES ASHTON SR (MD)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:ASHTON
Last Name:CAMPBELL
Suffix:SR
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 7967
Mailing Address - Street 2:1127 NORTH 29TH STREET
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23223
Mailing Address - Country:US
Mailing Address - Phone:804-648-6153
Mailing Address - Fax:804-780-0389
Practice Address - Street 1:1127 NORTH 29TH STREET
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23223
Practice Address - Country:US
Practice Address - Phone:804-648-6153
Practice Address - Fax:804-780-0389
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
VA0101025720207Q00000X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Not Answered2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B05102Medicare UPIN