| Campbell Family Practice | |
|
2835 E Highway 76 Ste 6 Mullins SC 29574-6038 | |
| (843) 431-9882 | |
| (843) 431-9879 |
| Full Name | Campbell Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 2835 E Highway 76 Ste 6, Mullins, South Carolina |
| Authorized Official Name and Position | Treadwell Campbell (OWNER) |
| Authorized Official Contact | 8434319882 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Campbell Family Practice Po Box 1033 Mullins SC 29574-1033 Ph: (843) 431-9882 | Campbell Family Practice 2835 E Highway 76 Ste 6 Mullins SC 29574-6038 Ph: (843) 431-9882 |
| NPI Number | 1477768844 |
|---|---|
| Provider Enumeration Date | 05/11/2007 |
| Last Update Date | 09/15/2008 |
| Medicare PECOS PAC ID | 5294920898 |
|---|---|
| Medicare Enrollment ID | O20120208000148 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477768844 | NPI | - | NPPES |
| GP1732 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 14038 (South Carolina) | Primary |
| Provider Name | Mary Gail Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528172384 PECOS PAC ID: 4587637392 Enrollment ID: I20040818000960 |
| Provider Name | Treadwell Campbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205939550 PECOS PAC ID: 3476450222 Enrollment ID: I20091026000033 |
| Provider Name | Arnell C Kithcart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770560310 PECOS PAC ID: 9436398153 Enrollment ID: I20130610000406 |
Medical University Hospital Authority Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 511 S Main St, Mullins, SC 29574 Phone: 843-464-8244 | |
Marion Physician Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2835 E Highway 76, Suite 7, Mullins, SC 29574 Phone: 843-431-2710 Fax: 843-431-2716 | |
Rosanne J Hooks Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1004 S Main St, Mullins, SC 29574 Phone: 843-464-1201 Fax: 843-464-1219 | |
Marion Physician Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 511 S Main St, Mullins, SC 29574 Phone: 843-464-8244 Fax: 843-464-6519 | |
Palmetto Medical Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1002 S Main St, Mullins, SC 29574 Phone: 843-245-0613 | |
Medical University Hospital Authority Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 511 S Main St, Mullins, SC 29574 Phone: 843-464-8244 | |
Marion Regional Healthcare System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2845 E Highway 76, Suite 4, Mullins, SC 29574 Phone: 843-431-2720 Fax: 843-431-2726 |