Matthew Campbell, | |
1801 N Washington St, Suite 100, Tullahoma, TN 37388-8245 | |
(931) 393-7060 | |
(931) 222-4303 |
Full Name | Matthew Campbell |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1801 N Washington St, Tullahoma, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972824720 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 4148 (Georgia) | Secondary |
208000000X | Pediatrics | MD49987 (Tennessee) | Primary |
Entity Name | Vanderbilt Integrated Providers Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982625091 PECOS PAC ID: 7012817919 Enrollment ID: O20040108001021 |
Mailing Address | Practice Location Address |
---|---|
Matthew Campbell, 1801 N Washington St, Suite 100, Tullahoma, TN 37388-8245 Ph: (931) 393-7060 | Matthew Campbell, 1801 N Washington St, Suite 100, Tullahoma, TN 37388-8245 Ph: (931) 393-7060 |
Dr. Richard Marlon Vaughn, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 710 Kings Ln, Tullahoma, TN 37388 Phone: 931-455-7044 Fax: 931-455-7043 | |
Ho Kim, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1330 Cedar Ln Ste 900 Bldg B, Tullahoma, TN 37388 Phone: 931-455-2674 Fax: 931-455-8983 | |
Dr. Shirley Ann Bard, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 710 Kings Ln, Tullahoma, TN 37388 Phone: 931-455-7044 Fax: 931-455-7043 | |
Richard H Cowan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 710 Kings Ln, Tullahoma, TN 37388 Phone: 931-455-7044 Fax: 931-455-7043 | |
Rocio Elena Espinoza, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 715 Kings Lane, Tullahoma, TN 37388 Phone: 931-454-9411 Fax: 931-454-2145 | |
Clifford A Seyler, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1330 Cedar Ln Ste 900 Bldg B, Tullahoma, TN 37388 Phone: 931-455-2674 Fax: 931-455-8983 |