Individual
MICHELL E. CAUDILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
234 RIDGEWATER WAY, MOUNT JULIET, TN 37122-5723
(615) 521-9097
Mailing address
234 RIDGEWATER WAY, MOUNT JULIET, TN 37122-5723
(615) 521-9097
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA547
KY
Other
Enumeration date
03/04/2020
Last updated
05/14/2022
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