Individual
MRS. ANN RENEE CAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
111 DOCTOR CIR, COLUMBIA, SC 29203-6502
(800) 491-0909
Mailing address
111 DOCTOR CIR, COLUMBIA, SC 29203-6502
(800) 491-0909
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
102665
NC
363A00000X
Physician Assistant
Primary
626PA
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0248H
BC BS
NC
05
—
2058PA
—
SC
05
—
5950176
—
NC
01
—
D05145
PHP
NC
05
—
NPA648
—
SC
Enumeration date
05/08/2007
Last updated
12/15/2022
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