Individual
ANTHONY W CABALLERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7 INDEPENDENCE PT STE 300, GREENVILLE, SC 29615-4569
(864) 522-3700
(864) 522-3705
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
(803) 774-9846
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3908
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007
BLUE CHOICE
SC
01
—
009
BCBS
SC
Enumeration date
07/02/2009
Last updated
02/07/2022
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