Dr. Penelope Anne Campbell
Pediatrician Adolescent Medicine
4022 Postal Way Ste C
Myrtle Beach
, South Carolina 29579-3537
Dr. Penelope Anne Campbell
Pediatrician Adolescent Medicine
4022 Postal Way Ste C
Myrtle Beach
, South Carolina 29579-3537
(843) 903-4242
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About
Features
Specialties
- Pediatrician
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Dr. Penelope Anne Campbell
- Po Box 50760
- Myrtle Beach, SC
- Zip : 29579-0013
- Fax : (843) 903-4242
- Phone : (843) 903-4111
Second Address
- Dr. Penelope Anne Campbell
- 4022 Postal Way Ste C
- Myrtle Beach, SC
- Zip : 29579-3537
- Fax : (843) 903-4242
- Phone : (843) 903-4111
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 27349 | SC |
| N | 2080A0000X | Adolescent Medicine | 27349 | SC |
National Provider Identifier
| NPI | 1124084876 |
|---|---|
| Provider Name | Dr. Penelope Anne Campbell |
| First Address | Myrtle Beach, SC 29579-0013 |
| Second Address | Myrtle Beach, SC 29579-3537 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/04/2006 |
| Last Update Date | 02/02/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 570783896 | FED TAX ID (01) | SC |
| 7844 | MEDICARE PTAN (01) | SC |
| GP4505 | (05) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.