Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Theodore Hodges Campbell IV

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164371621

Theodore Hodges Campbell IV is a Student in an Organized Health Care Education/Training Program in Athens, Georgia. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

108 Spear Rd
Athens, GA 30602-5038
Phone: (706) 542-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1164371621
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 27, 2026
Last updated in NPPESJanuary 27, 2026
Certification dateJanuary 27, 2026
Mailing address1024 Avery Creek Dr, Woodstock, GA 30188-2357

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