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Dr. Penelope Anne Campbell

Pediatrician Adolescent Medicine

4022 Postal Way Ste C
Myrtle Beach , South Carolina 29579-3537

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Image

Dr. Penelope Anne Campbell

Pediatrician Adolescent Medicine

4022 Postal Way Ste C
Myrtle Beach , South Carolina 29579-3537

(843) 903-4242

Write a Review Save Call

Dr. Penelope Anne Campbell

Pediatrician Adolescent Medicine

4022 Postal Way Ste C
Myrtle Beach , South Carolina 29579-3537

(843) 903-4242 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Pediatrician
  • Adolescent Medicine

Languages spoken

  • English

Location

4022 Postal Way Ste C Myrtle Beach , South Carolina 29579-3537

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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FAQs


Where did Dr. Penelope Anne Campbell attend graduate school?

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Where did Dr. Penelope Anne Campbell do her residency?

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Where did Dr. Penelope Anne Campbell do her fellowship?

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Is Dr. Penelope Anne Campbell board certified?

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What type of doctor is Dr. Penelope Anne Campbell

Pediatrician

In what state does Dr. Penelope Anne Campbell practice in?

South Carolina

Where is Dr. Penelope Anne Campbell ’s practice located?

4022 Postal Way Ste C , Myrtle Beach, South Carolina, 29579-3537

What is Dr. Penelope Anne Campbell ’s gender?

Female

Is Dr. Penelope Anne Campbell a sole practitioner?

No

Is Dr. Penelope Anne Campbell accepting new patients?

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What languages does Dr. Penelope Anne Campbell speak?

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Does Dr. Penelope Anne Campbell accept insurance?

Yes, Dr. Penelope Anne Campbell accepts insurance

Does Dr. Penelope Anne Campbell offers telemedicine?

Dr. Penelope Anne Campbell has not indicated if she offers telemedicine

What is Dr. Penelope Anne Campbell ’s professional license number?

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What is Dr. Penelope Anne Campbell ’s NPI number?

1124084876

Does Dr. Penelope Anne Campbell have any license restrictions?

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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)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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