Individual
MISS ETHELIN CAMILLE CAMMOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 HOSPITAL AVE, JEFFERSON, NC 28640-9244
(336) 846-7101
Mailing address
115 NANZETTA WAY, LEWISVILLE, NC 27023-7102
(605) 660-4360
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2023-02051
NC
Other
Enumeration date
05/01/2019
Last updated
06/01/2024
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