Healthcare Provider Details
I. General information
NPI: 1477327245
Provider Name (Legal Business Name): CAMERON NAPPER
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/13/2023
Last Update Date: 11/13/2023
Certification Date: 11/11/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9330 MEDICAL PLAZA DR
NORTH CHARLESTON SC
29406-9104
US
IV. Provider business mailing address
159 NEW OAK LN
MONCKS CORNER SC
29461-7830
US
V. Phone/Fax
- Phone: 843-847-7000
- Fax:
- Phone: 843-544-7130
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 246QM0706X |
| Taxonomy | Medical Technologist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: