Campbell, Coty L
Campbell, Coty L is an individual health care provider with primary practice located at 1600 Lake Murray Blvd , Columbia SC 29212-8623. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Campbell, Coty L can be contacted via phone (803) 731-9600.Contact Information
Primary practice address
1600 Lake Murray Blvd
Columbia SC 29212-8623
Phone: (803) 731-9600
Fax: (803) 731-0297
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 1694 | South Carolina |
Profile Details
| NPI number | 1265579106 |
|---|---|
| LBN Legal business name | Campbell, Coty L |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2007 |
| Last updated | Mar 17th, 2018 - about 7 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 | 1265579106 | NPPES |
| South Carolina | Other | P604057400 | MEDICARE PTAN |
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