Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 31363 | NC |
N | 2080P0203X | Pediatric Critical Care Doctor | 31363 | NC |
NPI | 1053391532 |
---|---|
Provider Name | Cecelia Caldwell |
First Address | Asheville, NC 28803-3499 |
Second Address | Asheville, NC 28803-1700 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2006 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1053391532 | (05) | NC |
8970557 | (05) | NC |
E88529 | (02) |