Individual
ADDISON CARAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1723 BROADWAY ST STE 310, CAPE GIRARDEAU, MO 63701-4556
(573) 519-4540
(573) 519-4541
Mailing address
PO BOX 776084, CHICAGO, IL 60677-6084
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
09/23/2025
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