Individual
EMILY CAMPOLONG CULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1017 FAIR ST, CAMDEN, SC 29020-4408
(803) 424-1260
(803) 424-1230
Mailing address
1017 FAIR ST, CAMDEN, SC 29020-4408
(803) 424-1260
(803) 424-1230
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4462
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4462
SC BOARD OF MEDICAL EXAMINERS
SC
Enumeration date
06/05/2022
Last updated
09/13/2024
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