Individual
COURTNEY CAMILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
246 PLEASANT ST, CONCORD, NH 03301-2548
(603) 224-1725
(603) 227-7557
Mailing address
6201 GREENLEIGH AVE, BALTIMORE, MD 21220-2004
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110010190
VA
363A00000X
Physician Assistant
Primary
3670
NH
363A00000X
Physician Assistant
C0009861
MD
363A00000X
Physician Assistant
PA9117319
FL
Other
Enumeration date
03/16/2023
Last updated
04/16/2026
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