Individual
MARY CAITLIN ST CLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D. O
Contact information
Practice address
6 MEYERS DR, GREENVILLE, SC 29605-3054
(757) 434-3057
Mailing address
PO BOX 9772, GREENVILLE, SC 29604-9310
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0062996
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
836234
—
SC
Enumeration date
03/27/2016
Last updated
06/08/2023
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