Provider Demographics
NPI:1861699357
Name:CAMPBELL, LEIGH RHODES (MD)
Entity type:Individual
Prefix:
First Name:LEIGH
Middle Name:RHODES
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 SUMMER LAKE DR
Mailing Address - Street 2:
Mailing Address - City:RIDGELAND
Mailing Address - State:MS
Mailing Address - Zip Code:39157-8630
Mailing Address - Country:US
Mailing Address - Phone:601-672-1381
Mailing Address - Fax:
Practice Address - Street 1:272 S PERKINS ST STE 200
Practice Address - Street 2:
Practice Address - City:RIDGELAND
Practice Address - State:MS
Practice Address - Zip Code:39157-2730
Practice Address - Country:US
Practice Address - Phone:601-521-3196
Practice Address - Fax:601-510-8440
Is Sole Proprietor?:No
Enumeration Date:2007-06-28
Last Update Date:2025-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS201362080N0001X
AL287082080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS302I375184Medicare PIN
MS302I377237Medicare PIN