Individual
MRS. CAMILLE D. NELSON
Active
Individual
MRS. CAMILLE D. NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
045562
GA
207RC0000X
Cardiovascular Disease Physician
193652
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000788796A
—
GA
01
—
045562
GA LICENSE
GA
01
—
110166903
RAIL ROAD MEDICARE
GA
01
—
1760576656
GROUP NPI
GA
01
—
193652
NY LICENSE
NY
Enumeration date
07/26/2006
Last updated
02/22/2024
Update your record
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