# CALBA ENTERPRISES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851883714
- **Authorized official:** CATHY BAGLEY (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (843) 606-6776

## Contact information

- **Practice address:** 330 ROBERT SMALLS PKWY, BEAUFORT, SC 29906-4237
- **Practice address phone:** (803) 747-8235
- **Mailing address:** 630 HIGHLAND ST, ORANGEBURG, SC 29115-4357
- **Mailing address phone:** (803) 747-8235

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 202C00000X | Independent Medical Examiner Physician | — | NULL | Yes |
| 202C00000X | Independent Medical Examiner Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/05/2018
- **Last updated:** 06/05/2018