Organization
CAMDEN GENERAL AND VASCULAR SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON AUSTIN KNIGHT (OFFICE MANAGER)
(803) 432-8989
Entity
Organization
Contact information
Practice address
1001 FAIRLAWN DR, CAMDEN, SC 29020-4525
(803) 432-8989
Mailing address
1001 FAIRLAWN DR, CAMDEN, SC 29020-4525
(803) 432-8989
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
16224
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4285
—
SC
05
—
TL9141
—
SC
Enumeration date
07/29/2006
Last updated
12/14/2012
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