Individual
MRS. CAITLAN UNDERWOOD SCROGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 N HAMILTON ST, WILLIAMSTON, SC 29697-1061
(864) 847-7344
Mailing address
1 ROBERTS BLVD, WILLIAMSTON, SC 29697-1132
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5697
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
235Z00000X
—
SC
Enumeration date
01/17/2014
Last updated
10/19/2015
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