Campbell, Berry Allen
Campbell, Berry Allen is an individual health care provider with primary practice located at 2 Medical Park Rd , Columbia SC 29203-6808. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Campbell, Berry Allen can be contacted via phone (803) 545-5700.Contact Information
Primary practice address
2 Medical Park Rd
Columbia SC 29203-6808
Phone: (803) 545-5700
Fax: (803) 434-6642
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | 13001 | South Carolina |
| Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | 28208 | Kentucky |
Profile Details
| NPI number | 1700808979 |
|---|---|
| LBN Legal business name | Campbell, Berry Allen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | May 22nd, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700808979 | NPPES |
| South Carolina | MEDICAID | 130012 | |
| South Carolina | MEDICAID | 64282080 | |
| South Carolina | Other | 000000219605 | |
| South Carolina | Other | 13001 |
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