Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 13630 | SC |
NPI | 1013988963 |
---|---|
Provider Name | Dr. Elsa C Caire |
First Address | Charleston, SC 29414-5740 |
Second Address | Charleston, SC 29414-5740 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2006 |
Last Update Date | 04/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
136301 | (05) | SC |
B92588 | (02) | SC |
CH6746 | RAILROAD MEDICARE (01) | SC |