Individual
DR. CORRIELLE CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 N SUMTER ST STE 315, SUMTER, SC 29150-4967
(803) 774-9787
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
25MA10822900
NJ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
85862
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/09/2014
Last updated
10/09/2023
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