Individual
MS. RITA R CAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1204 E CHEVES ST, FLORENCE, SC 29506-2710
(843) 673-0122
Mailing address
1500 MAIN ST, CONWAY, SC 29526-3569
(843) 438-8470
(843) 438-8480
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
21362
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21362
SC MEDICAL LICENSE
SC
05
—
NP8718
—
SC
Enumeration date
10/06/2017
Last updated
03/11/2025
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