Campbell, Alfred Wray

Campbell, Alfred Wray is an individual health care provider with primary practice located at 101 E Wood St , Spartanburg SC 29303-3040. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Campbell, Alfred Wray can be contacted via phone (864) 560-6229.

Contact Information

Primary practice address
101 E Wood St Spartanburg SC 29303-3040
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101057219 Virginia
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 28586 South Carolina

Profile Details

NPI number 1982603015
LBN Legal business name Campbell, Alfred Wray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Apr 9th, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982603015 NPPES
South Carolina MEDICAID 285863

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