Caudell, Patricia A
Caudell, Patricia A is an sole proprietor health care provider with primary practice located at 1462 Laney Walker Blvd Ca-2105, Augusta GA 30912-0003. 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, Patricia A can be contacted via phone (706) 721-9341.Contact Information
Primary practice address
1462 Laney Walker Blvd Ca-2105
Augusta GA 30912-0003
Phone: (706) 721-9341
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 041412 | Georgia |
Profile Details
| NPI number | 1043393820 |
|---|---|
| LBN Legal business name | Caudell, Patricia A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | Sep 28th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043393820 | NPPES |
| Georgia | MEDICAID | 000787663C |
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