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Individual

MRS. EMILY RANDALL CALDWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
322 N PINE ST, SPARTANBURG, SC 29302-1631
(864) 582-5099
(864) 327-1098
Mailing address
1715 TIMBER DR, MOORESBORO, NC 28114-7810
(828) 447-4312

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
23786
SC

Other

Enumeration date
04/16/2020
Last updated
04/29/2020
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