Provider Demographics
NPI:1144333402
Name:DRS CAMPBELL & WHITAKER LTD
Entity type:Organization
Organization Name:DRS CAMPBELL & WHITAKER LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ASHTON
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD
Authorized Official - Phone:804-648-6153
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-17
Last Update Date:2014-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty