Individual
MALLORY MARIE CAUTHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1025 W MEETING ST STE 101, LANCASTER, SC 29720-2245
(803) 416-5453
(803) 416-5456
Mailing address
1025 W MEETING ST STE 101, LANCASTER, SC 29720-2245
(803) 416-5453
(803) 416-5456
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4799
SC
Other
Enumeration date
06/14/2022
Last updated
05/31/2024
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