Provider Demographics
NPI:1043710817
Name:MCCAMERON, SHEILA BALLARD
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:BALLARD
Last Name:MCCAMERON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:754 LYNVILLE LN
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29730-9051
Mailing Address - Country:US
Mailing Address - Phone:803-374-9824
Mailing Address - Fax:
Practice Address - Street 1:1070 HECKLE BLVD STE 204
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-2855
Practice Address - Country:US
Practice Address - Phone:803-909-7300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-18
Last Update Date:2018-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC228312251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care