MEDICARE: DR. SONIA MARIE CAMPBELL APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	3945	SC
2	363L00000X	Nurse Practitioner	3945	SC
3	364SC1501X	Community Health/Public Health Clinical Nurse Specialist	3945	SC
4	363L00000X	Nurse Practitioner	3945A	SC

General Provider Information

NPI Number	:	1356645394
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SONIA MARIE CAMPBELL APRN

Provider Business Mailing Address
First Line	:	SC HOUSE CALLS, INC.
Second Line	:	111 DOCTORS CIR.
City	:	COLUMBIA
State	:	SC
Zip	:	29203
Country	:	US
Telephone Number	:	800-491-0909
Fax Number	:

Provider Business Practice Location Address
First Line	:	SC HOUSE CALLS, INC.
Second Line	:	111 DOCTORS CIR.
City	:	COLUMBIA
State	:	SC
Zip	:	29203
Country	:	US
Telephone Number	:	800-491-0909
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2011
Last Update Date	:	06/01/2026

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