Organization
CAMPBELL FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TREADWELL CAMPBELL MD (OWNER)
(843) 431-9882
Entity
Organization
Contact information
Practice address
2835 E HIGHWAY 76 STE 6, MULLINS, SC 29574-6038
(843) 431-9882
(843) 431-9879
Mailing address
PO BOX 1033, MULLINS, SC 29574-1033
(843) 431-9882
(843) 431-9879
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14038
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1732
—
SC
Enumeration date
05/11/2007
Last updated
09/15/2008
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