Individual
DR. CAISSON TIMBER HOGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
809 N CEDAR ST, SUMMERVILLE, SC 29483-6605
(843) 871-9440
(843) 871-5932
Mailing address
PO BOX 530062, ATLANTA, GA 30353-0062
(843) 695-6071
(843) 569-5879
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28075
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280751
—
SC
01
—
GP2858
MEDICAID GROUP
SC
01
—
GP4892
MEDICAID GROUP
SC
Enumeration date
10/17/2006
Last updated
11/15/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us