Individual
DR. NIOAKA NICOLE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15 MEDICAL PARK RD, SUITE 103, COLUMBIA, SC 29203-8003
(803) 434-4300
(803) 434-4351
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
22533
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
225330
—
SC
Enumeration date
03/31/2006
Last updated
09/05/2023
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