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Individual

ALICE DUNKELBERG CALDWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, FNP-C

Contact information

Practice address
201 CASHUA ST, DARLINGTON, SC 29532-3301
(843) 393-7452
(843) 393-6210
Mailing address
3400 WEST AVE, COLUMBIA, SC 29203-6901
(803) 799-1700
(803) 254-3678

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APN1213
SC
363LF0000X
Family Nurse Practitioner
Primary
1213
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
FQC089
SC
05
NP0525
SC
Enumeration date
04/17/2007
Last updated
06/28/2012
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