# DR. MICHAEL A. CAMPBELL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629276605
- **Authorized official:** DR. MICHAEL ALAN CAMPBELL OD (OWNER)
- **Authorized official phone:** (843) 681-6682

## Contact information

- **Practice address:** 10 HOSPITAL CENTER CMNS, STE. 100, HILTON HEAD ISLAND, SC 29926-2839
- **Practice address phone:** (843) 681-6682
- **Practice address fax:** (843) 681-9582
- **Mailing address:** 10 HOSPITAL CENTER CMNS, STE. 100, HILTON HEAD ISLAND, SC 29926-2839
- **Mailing address phone:** (843) 681-6682
- **Mailing address fax:** (843) 681-9582

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/11/2007
- **Last updated:** 06/21/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 3063 | MEDICARE GROUP NUMBER | SC |
| 01 | — | 410008055 | RR MEDICARE | SC |