Provider Demographics
NPI:1265939912
Name:ONEAL, CAMERON ELIZABETH (RPH)
Entity type:Individual
Prefix:
First Name:CAMERON
Middle Name:ELIZABETH
Last Name:ONEAL
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:CAMERON
Other - Middle Name:ONEAL
Other - Last Name:CANNON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:123 W CHARLTON ST APT 2A
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31401-4595
Mailing Address - Country:US
Mailing Address - Phone:912-856-4593
Mailing Address - Fax:
Practice Address - Street 1:800 E 70TH ST RM 4
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-4813
Practice Address - Country:US
Practice Address - Phone:912-421-0317
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-10
Last Update Date:2018-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH028253183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist