Individual
MR. SAMUEL O'CAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
119 WHISPERING MAPLE DR, APARTMENT D, CENTRAL, SC 29630-4223
(864) 607-2994
Mailing address
119 WHISPERING MAPLE DR, APARTMENT D, CENTRAL, SC 29630-4223
(864) 607-2994
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EX6225
—
SC
Enumeration date
12/26/2006
Last updated
07/09/2007
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