Patricia Lurline Campbell, MD | |
1146 Evelyn Gandy Pkwy, Petal, MS 39465-3947 | |
(601) 584-4309 | |
Not Available |
Full Name | Patricia Lurline Campbell |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 1146 Evelyn Gandy Pkwy, Petal, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255991253 | NPI | - | NPPES |
30585 | Other | MS | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 30585 (Mississippi) | Primary |
Entity Name | Wesley Physician Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538200209 PECOS PAC ID: 2466559851 Enrollment ID: O20070518000496 |
Mailing Address | Practice Location Address |
---|---|
Patricia Lurline Campbell, MD 1146 Evelyn Gandy Pkwy, Petal, MS 39465-3947 Ph: (601) 584-4309 | Patricia Lurline Campbell, MD 1146 Evelyn Gandy Pkwy, Petal, MS 39465-3947 Ph: (601) 584-4309 |
Rodney N Lovitt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 Parkway Ln, Petal, MS 39465 Phone: 601-544-7404 Fax: 601-584-6457 | |
Mr. William Phillip Fortenberry Jr., Family Medicine Medicare: Medicare Enrolled Practice Location: 50 Parkway Ln, Petal, MS 39465 Phone: 601-544-7404 | |
John Clayton Nelson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1146 Evelyn Gandy Pkwy, Petal, MS 39465 Phone: 601-584-4309 | |
Ronald A Bullock, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 Parkway Ln, Petal, MS 39465 Phone: 601-705-2897 Fax: 601-584-6457 | |
Donald V Conerly, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 Parkway Ln, Petal, MS 39465 Phone: 601-705-2897 Fax: 601-584-6457 | |
Dr. Robert Michael Weaver, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1146 Evelyn Gandy Pkwy, Petal, MS 39465 Phone: 601-584-4309 Fax: 601-584-4890 |