Individual
CAMILLE G. GAGNE-SABBAGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8024 MYRTLE TRACE DR, CONWAY, SC 29526-8945
(843) 347-7333
(843) 347-7288
Mailing address
8024 MYRTLE TRACE DR, CONWAY, SC 29526-8945
(843) 347-7333
(843) 347-7288
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
18924
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
790628
NORTH CAROLINA MEDICAID
SC
05
—
T28725
—
SC
Enumeration date
08/11/2006
Last updated
07/10/2012
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