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Individual

DR. JEANNE M CAMPBELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD PHD

Contact information

Practice address
11 FRANKLIN ST, CHARLESTON, SC 29401-1909
(843) 723-9433
Mailing address
11 FRANKLIN ST, CHARLESTON, SC 29401-1909
(843) 723-9433

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12612
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110183683
RAILROAD MEDICARE
SC
05
126125
SC
01
571020809014
BCBS SC
SC
01
571020809019
TRICARE SC
SC
Enumeration date
05/18/2006
Last updated
07/23/2014
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