Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC1500X | Nurse Practitioner - Community Health | APN838 | SC |
NPI | 1558381194 |
---|---|
Provider Name | Toriah J. Caldwell |
First Address | Columbia, SC 29203-6894 |
Second Address | Columbia, SC 29204-1454 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 03/11/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
NP1092 | (05) | SC |
S11526 | (02) | SC |