Provider Demographics
NPI:1306803200
Name:CAMP, ERNEST III (MD)
Entity type:Individual
Prefix:DR
First Name:ERNEST
Middle Name:
Last Name:CAMP
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1113 WOODBURN RD
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29302-3465
Mailing Address - Country:US
Mailing Address - Phone:864-573-7799
Mailing Address - Fax:
Practice Address - Street 1:16 DRAYTON CT
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29301-6519
Practice Address - Country:US
Practice Address - Phone:864-585-0041
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6673208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery