Individual provider · Type 1 NPI

Theadora Devone Campbell, PA-C

Physician Assistant · Fayetteville, NC

NPI number 1689635377 Active

Practice location

2300 Ramsey St
Fayetteville, NC 28301-3856

Call (910) 488-2120 Map

Mailing address

6556 Foxberry Rd
Fayetteville, NC 28314-1874

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X102996 (NC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1689635377

Theadora Devone Campbell, PA-C's National Provider Identifier is 1689635377, issued on Mar 31, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fayetteville, NC. The record was last updated on Jul 13, 2026.