Individual
MRS. ANGIE E CAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1750 LAUREL ST, COLUMBIA, SC 29201-2625
(803) 779-3378
(803) 779-3103
Mailing address
1750 LAUREL ST, COLUMBIA, SC 29201-2625
(803) 779-3378
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
599
SC
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0032PA
—
SC
01
—
599
SC LICENSE
SC
Enumeration date
01/07/2008
Last updated
12/19/2022
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