MR. CLARENCE CAMPBELL III (NPI# 1811448194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811448194 |
| Entity Type | Individual |
| Full Name | MR. CLARENCE CAMPBELL III |
| Credential | FNP |
| Practice Address |
209 S College St Heath Springs SC 29058 |
| Mailing Address |
209 S College St Heath Springs SC 29058-9710 |
| Practice Telephone | 8032734018 |
| Practice Fax Number | 8032734023 |
| Mailing Telephone | 8032734018 |
| Mailing Fax Number | 8032734023 |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2019-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
20425 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2 Medical Park Rd Ste 410, Columbia, SC 292036808 | 8035401000 | 8035401075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811011224 | Clarence Campbell IIi | Dentist | 117 Courthouse Lane, Bowling Green, VA 22427-0035 | 2007-03-19 |
| Street Address |
209 S COLLEGE ST |
| City | HEATH SPRINGS |
| State | SC |
| Zip Code | 29058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417912932 | Ifediora Foster Afulukwe | Internal Medicine | 209 S College St, Heath Springs, SC 29058-9710 | 2006-04-18 |
| 1366852345 | Courtney Sullivan | Registered Nurse | 209 S College St, Heath Springs, SC 29058-9710 | 2014-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780761684 | Metrolyna Health Care LLC | Clinic/Center | 209 South College Street, Heath Springs, SC 29058 | 2006-11-01 |
| 1326086968 | Chukwuma S Ogugua | Internal Medicine | 209 S. College Street, Rock Hill, SC 29058 | 2006-06-04 |
| 1043363526 | Christopher B Phillips | Dentist | 114 N Main St, Heath Springs, SC 29058 | 2007-01-19 |
| 1265585749 | David M Decillis | Dentist | 114 N Main Street, Heath Springs, SC 29058-0455 | 2007-01-19 |
| 1306999602 | Heath Springs Dental Associates, P.a. | Dentist | 114 N Main St, Heath Springs, SC 29058-0455 | 2007-01-19 |
| 1790336808 | Yevonne Walker Thompson | Case Management | 419 Depot Dr., Heath Springs, SC 29058-2905 | 2019-09-20 |
| 1124329974 | Jami Hinson Pritchard | Pharmacist | 1826 Morris Hinson Rd, Heath Springs, SC 29058-7101 | 2010-11-10 |
| 1609233725 | Hsrcc Services, LLC | Assisted Living Facility | 614 Hart St, Heath Springs, SC 29058-8411 | 2016-01-20 |
| 1164489431 | Children First Medical Center | Pediatrics | 615 N Main St, Heath Springs, SC 29058-8677 | 2006-04-28 |
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557737 | Diondra Johnson | Nurse Practitioner | 2327 Watchtower Ln, Charleston, SC 29414-7803 | 2020-10-27 |
| 1740888262 | Gerri Kukucka | Nurse Practitioner | 18 Ash Ct, Irmo, SC 29063-9584 | 2020-10-16 |
| 1407454853 | William Andrew Haislip | Nurse Practitioner | 109 Anita St, Greer, SC 29651-3814 | 2020-10-16 |
| 1912505652 | Mattison Williams Craig | Nurse Practitioner | 108 Woodstock Ln, Greer, SC 29650-3918 | 2020-10-14 |
| 1669079901 | Kelley Brown Davis | Nurse Practitioner | 2689 Us-1, Elgin, SC 29045 | 2020-10-08 |
| 1518564897 | Erica Odom Mccumbers | Nurse Practitioner | 17 Downing Cir, Gilbert, SC 29054-8483 | 2020-10-08 |
| 1285231845 | Shannon Marie Dunlap | Nurse Practitioner | 3792 Home Branch Rd, Manning, SC 29102-4109 | 2020-10-07 |
| 1588261325 | Crystal Leopard | Nurse Practitioner | 328 Deer Creek Rd, Easley, SC 29640-7615 | 2020-10-05 |
| 1497352595 | Margaret Ann Regnery | Nurse Practitioner | 900 Island Park Dr Ste 104, Daniel Island, SC 29492-7560 | 2020-10-02 |
| 1417564709 | John P Rainchuso | Nurse Practitioner | 299 Three Runs Creek Way, Aiken, SC 29803-1680 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
| City | HEATH SPRINGS |
| Zip Code | 29058 |
Please comment or provide details below to improve the information on MR. CLARENCE CAMPBELL III.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.