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Organization

CAMPBELL FAMILY PRACTICE, P.A.

Active
Other names
Campbell Family Practice
Organization subpart
No

Provider details

NPI number
Authorized official
TREADWELL CAMPBELL M.D. (DIRECTOR/OWNER)
(843) 431-9882
Entity
Organization

Contact information

Practice address
2835 E HIGHWAY 76, SUITE 6, MULLINS, SC 29574-6038
(843) 431-9882
(843) 431-9879
Mailing address
PO BOX 1033, MULLINS, SC 29574-1033
(843) 431-9882
(843) 431-9879

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
RHC124
SC
Enumeration date
08/28/2006
Last updated
10/26/2010
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