Individual
LAURA CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2095 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-5733
(843) 402-1037
(843) 402-1295
Mailing address
PO BOX 602645, CHARLOTTE, NC 28260-2645
(843) 789-1620
(843) 724-2454
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
52242
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
522429
—
SC
Enumeration date
06/09/2014
Last updated
10/29/2020
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