Individual
PATRICIA A CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
110A SPRINGHALL DR, LIBERTY DOCTORS, LLC PATRICIA A CAMPBELL MD, GOOSE CREEK, SC 29445-5335
(843) 266-2520
(843) 553-4436
Mailing address
PO BOX 13955, LIBERTY DOCTORS, LLC PATRICIA A CAMPBELL MD, CHARLESTON, SC 29422-3955
(843) 225-8304
(843) 225-3549
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16192
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161924
—
SC
05
—
GP4999
—
SC
01
—
P00689239
MEDICARE RR
SC
Enumeration date
06/07/2006
Last updated
08/10/2016
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