Campbell, Susan Lee
Campbell, Susan Lee is an individual health care provider with primary practice located at 124 Mallard St , Greenville SC 29601-4046. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Campbell, Susan Lee can be contacted via phone (864) 241-1040.Contact Information
Primary practice address
124 Mallard St
Greenville SC 29601-4046
Phone: (864) 241-1040
Fax: (864) 241-1049
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 13449 | South Carolina |
Profile Details
| NPI number | 1417048513 |
|---|---|
| LBN Legal business name | Campbell, Susan Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1417048513 | NPPES |
| South Carolina | MEDICAID | 301100 |
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