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Individual

RUTH C CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-0100
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
21714
AL
207RN0300X
Nephrology Physician
Primary
33140
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000095151
BLUE CROSS
AL
01
000095160
BLUE CROSS
AL
05
000095160
AL
01
390006962
RAILROAD MEDICARE
AL
01
H13655
VIVA
AL
Enumeration date
06/09/2006
Last updated
03/12/2021
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