Individual
WANDA CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6156 SAINT ANDREWS RD, COLUMBIA, SC 29212-3147
(803) 807-9177
(803) 807-9377
Mailing address
6156 SAINT ANDREWS RD STE 208B, COLUMBIA, SC 29212-3147
(803) 546-0950
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
251G00000X
Community Based Hospice Care Agency
—
—
Other
Enumeration date
04/18/2016
Last updated
05/31/2024
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