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Individual

VONDA GILGEN CALCUTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
16 NORTHSIDE DR, WALTERBORO, SC 29488-7219
(843) 538-8585
(843) 538-4777
Mailing address
16 NORTHSIDE DR, WALTERBORO, SC 29488-7219
(843) 538-8585
(843) 538-4777

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
036509
GA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
20023
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200231
SC
01
42D0952228
RAILROAD MEDICARE
SC
Enumeration date
06/03/2006
Last updated
09/07/2011
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