Individual
DR. JASON W CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157
(336) 716-2255
Mailing address
PO BOX 602658, CHARLOTTE, NC 28260-2658
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
2009-01500
NC
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
2009-01500
NC
208000000X
Pediatrics Physician
OS9850
FL
Other
Enumeration date
11/16/2007
Last updated
06/25/2018
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