Individual
MR. TITUS DANIEL CADDELL SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
588 OLD MOUNT HOLLY RD, GOOSE CREEK, SC 29445-2814
(843) 376-5595
(843) 797-7432
Mailing address
588 OLD MOUNT HOLLY RD, GOOSE CREEK, SC 29445-2814
(843) 376-5595
(843) 797-7432
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12475
SC
Other
Enumeration date
08/14/2006
Last updated
04/23/2015
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