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Individual

DR. CARLTON GREGORY CAUTHEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3016 LONGTOWN COMMONS DR, COLUMBIA, SC 29229-7861
(803) 936-8900
(803) 935-8667
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
30705
SC
207RP1001X
Pulmonary Disease Physician
2006-00014
NC
207RP1001X
Pulmonary Disease Physician
Primary
30705
SC
207RP1001X
Pulmonary Disease Physician
TL30705
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1346258746
SC
Enumeration date
08/03/2006
Last updated
06/24/2022
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