Provider Demographics
NPI:1598116162
Name:ESCOBAR CAMARGO, ANDRES DE JESUS (MD)
Entity type:Individual
Prefix:
First Name:ANDRES
Middle Name:DE JESUS
Last Name:ESCOBAR CAMARGO
Suffix:
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 1:805 PAMPLICO HWY STE B300
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29505-6081
Mailing Address - Country:US
Mailing Address - Phone:843-673-7529
Mailing Address - Fax:843-673-7532
Practice Address - Street 1:805 PAMPLICO HWY
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29505-6047
Practice Address - Country:US
Practice Address - Phone:843-673-7529
Practice Address - Fax:436-737-5328
Is Sole Proprietor?:No
Enumeration Date:2016-06-24
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC89873207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine