Individual
DR. ALISA MARY CAUDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 718-5294
Mailing address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 718-5294
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
LL38305
SC
Other
Enumeration date
06/11/2015
Last updated
07/25/2019
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