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Organization

T. DANIEL CADDELL

Active
Other names
T. Daniel Caddell MD,PA
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TITUS DANIEL CADDELL MD (DOCTOR)
(864) 841-4191
Entity
Organization

Contact information

Practice address
907 N MAIN ST, PO OFFICE BOX 1054, TRAVELERS REST, SC 29690-1054
(864) 834-4191
(864) 834-1964
Mailing address
PO OFFICE BOX 1054, 907 N MAIN ST, TRAVELERS REST, SC 29690-1054
(864) 834-4191
(864) 834-1964

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12475
SC

Other

Enumeration date
12/17/2008
Last updated
12/17/2008
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