Individual
MR. JOHNNY EUGENE CAMPBELL II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 MUSGROVE ST, CLINTON, SC 29325-1752
(803) 271-5100
Mailing address
234 SCHOFIELD RD, GILBERT, SC 29054-9729
(786) 365-8351
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4119
SC
Other
Enumeration date
01/17/2019
Last updated
01/17/2019
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