Individual
PATRICIA A CAUDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1462 LANEY WALKER BLVD, CA-2105, AUGUSTA, GA 30912-0003
(706) 721-9341
Mailing address
PO BOX 844590, DALLAS, TX 75284-4590
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
041412
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000787663C
—
GA
Enumeration date
10/23/2006
Last updated
09/28/2022
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