Individual
CAMILLA ELIZABETH HELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7114 VILLAGE MEDICAL CIR, CLEMMONS, NC 27012-8004
(336) 893-2440
(336) 893-2470
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 893-2440
(336) 893-2470
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0001-03063
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285682310
WSCA GRP NPI #
NC
01
—
2753007A
MEDICARE PTAN
NC
01
—
NC5260A
MEDICARE PTAN
NC
01
—
NC5260B
MEDICARE PTAN
NC
Enumeration date
02/06/2006
Last updated
11/10/2023
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