Organization
JACQUETTE CALDWELL MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUETTE CALDWELL MD (PRESIDENT/CEO)
(803) 699-9226
Entity
Organization
Contact information
Practice address
28 WILDEOAK CT, COLUMBIA, SC 29223-3292
(803) 699-9226
Mailing address
28 WILDEOAK CT, COLUMBIA, SC 29223-3292
(803) 699-9226
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
023105
SC
Other
Enumeration date
10/08/2012
Last updated
10/08/2012
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