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Individual

ADRIAN JOHNSON CAUGHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2006 AUGUSTA HWY, LEXINGTON, SC 29072-2208
(803) 785-4747
(803) 785-4750
Mailing address
416 SHIREY BRANCH RD, LEESVILLE, SC 29070-7571
(803) 687-7244

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28432
SC
390200000X
Student in an Organized Health Care Education/Training Program
255561
SC

Other

Enumeration date
12/18/2023
Last updated
06/19/2024
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