Individual
ALICE L. CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2191
(706) 721-4920
Mailing address
1499 WALTON WAY, STE 1400, AUGUSTA, GA 30901-2602
(706) 828-8402
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
024910
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000829991A
—
GA
05
—
G24910
—
SC
Enumeration date
08/30/2006
Last updated
09/05/2014
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