Individual
DR. WILLIAM E.H. CALDWELL IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
104 SIMPSON ST, GREENVILLE, SC 29605-4413
(864) 522-3900
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-2286
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
17064
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568896003
CIGNA PROVIDER NUMBER
SC
05
—
170647
—
SC
01
—
4415131
AETNA PROVIDER NUMBER
SC
01
—
P00147722
MEDICARE RAILROAD
SC
Enumeration date
01/24/2006
Last updated
05/17/2021
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