Olson, Cameron Lee

Olson, Cameron Lee is an individual health care provider with primary practice located at 851 Leonard Fulghum Dr Ste 101 , Mount Pleasant SC 29464-3793. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Olson, Cameron Lee can be contacted via phone (843) 971-9350.

Contact Information

Primary practice address
851 Leonard Fulghum Dr Ste 101 Mount Pleasant SC 29464-3793
Phone: (843) 971-9350
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X

Profile Details

NPI number 1629101688
LBN Legal business name Olson, Cameron Lee
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2007
Last updated Jun 12th, 2019 - 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 1629101688 NPPES
South Carolina MEDICAID 0751PA

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