Caudell, Alisa Mary

Caudell, Alisa Mary is an individual health care provider with primary practice located at 109 Bee St , Charleston SC 29401-5703. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Caudell, Alisa Mary can be contacted via phone (843) 718-5294.

Contact Information

Primary practice address
109 Bee St Charleston SC 29401-5703
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X LL38305 South Carolina

Profile Details

NPI number 1114308541
LBN Legal business name Caudell, Alisa Mary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2015
Last updated Jul 25th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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