Individual
CAMERON LEE OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
851 LEONARD FULGHUM DR STE 101, MOUNT PLEASANT, SC 29464-3793
(843) 971-9350
Mailing address
1300 HOSPITAL DR, STE 150, MOUNT PLEASANT, SC 29464-3261
(843) 971-9350
(843) 971-9351
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0751PA
—
SC
Enumeration date
03/13/2007
Last updated
06/12/2019
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