# DR. PENELOPE ANNE CAMPBELL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1124084876
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 27349 | SC | Yes |
| 2080A0000X | Pediatric Adolescent Medicine Physician | 27349 | SC | — |

## Other

- **Enumeration date:** 04/21/2006
- **Last updated:** 02/02/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 570783896 | FED TAX ID | SC |
| 01 | — | 7844 | MEDICARE PTAN | SC |
| 05 | — | GP4505 | — | SC |