Individual
JULIUS E CAMPBELL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
313 WINDY COVE LN, RIDGEWAY, SC 29130-8857
(803) 713-6221
Mailing address
313 WINDY COVE LN, RIDGEWAY, SC 29130-8857
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26104
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN0259
—
SC
01
—
CA8394
MEDICARE RR GROUP
—
01
—
P00119651
MEDICARE RR ID#
SC
Enumeration date
12/29/2005
Last updated
02/13/2008
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