Individual
HEATHER CAUSEY CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1113 CHURCH ST, CONWAY, SC 29526-4128
(843) 248-6269
Mailing address
1720 DAISY RD, LORIS, SC 29569-7048
(843) 601-3929
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
20998
SC
Other
Enumeration date
06/15/2017
Last updated
06/15/2017
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