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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 4 months 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 1700808979 NPPES
South Carolina MEDICAID 130012
South Carolina MEDICAID 64282080
South Carolina Other 000000219605
South Carolina Other 13001

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