Campbell Family Practice

LBN: Campbell Family Practice, P.A.
Campbell Family Practice is an health care organization with primary practice located at 2835 E Highway 76 Suite 6, Mullins SC 29574-6038. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Campbell Family Practice, P.A. can be contacted via phone (843) 431-9882, or through Campbell, Treadwell via phone (843) 431-9882.

Contact Information

Primary practice address
2835 E Highway 76 Suite 6 Mullins SC 29574-6038
Phone: (843) 431-9882
Fax: (843) 431-9879
Website:
Map and Directions
Authorized official contact:
Name: Campbell, Treadwell Doctor of Medicine (MD)
Phone: (843) 431-9882

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1871601039
LBN Legal business name Campbell Family Practice, P.A.
DBA Doing business as Campbell Family Practice
Authorized official Campbell, Treadwell Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 28th, 2006
Last updated Oct 26th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871601039 NPPES
South Carolina MEDICAID RHC124

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