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Organization

DR. MICHAEL A. CAMPBELL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL ALAN CAMPBELL OD (OWNER)
(843) 681-6682
Entity
Organization

Contact information

Practice address
10 HOSPITAL CENTER CMNS, STE. 100, HILTON HEAD ISLAND, SC 29926-2839
(843) 681-6682
(843) 681-9582
Mailing address
10 HOSPITAL CENTER CMNS, STE. 100, HILTON HEAD ISLAND, SC 29926-2839
(843) 681-6682
(843) 681-9582

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3063
MEDICARE GROUP NUMBER
SC
01
410008055
RR MEDICARE
SC
Enumeration date
07/11/2007
Last updated
06/21/2017
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