Individual
TARA S CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, CCM
Contact information
Practice address
127 MARSH DEER PL, SURFSIDE BEACH, SC 29575-6204
(910) 632-0325
Mailing address
PO BOX 14281, MYRTLE BEACH, SC 29587-4281
(910) 632-0325
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
205108
SC
163WC0400X
Case Management Registered Nurse
205108
SC
163WH0200X
Home Health Registered Nurse
205108
SC
163WX0106X
Occupational Health Registered Nurse
205108
SC
171M00000X
Case Manager/Care Coordinator
205108
SC
251E00000X
Home Health Agency
205108
SC
253Z00000X
In Home Supportive Care Agency
205108
SC
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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