Nelson, Camille D.
Nelson, Camille D. is an individual health care provider with primary practice located at 3333 Jodeco Road Suite A, Mcdonough GA 30253. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Nelson, Camille D. can be contacted via phone (770) 692-4000.Contact Information
Primary practice address
3333 Jodeco Road Suite A
Mcdonough GA 30253
Phone: (770) 692-4000
Fax: (770) 474-8510
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 193652 | New York |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 045562 | Georgia |
Profile Details
| NPI number | 1548284516 |
|---|---|
| LBN Legal business name | Nelson, Camille D. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Feb 22nd, 2024 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548284516 | NPPES |
| New York | Other | 193652 | NY LICENSE |
| New York | MEDICAID | 000788796A | NY LICENSE |
| New York | Other | 1760576656 | NY LICENSE |
| New York | Other | 045562 | NY LICENSE |
| New York | Other | 110166903 | NY LICENSE |
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