Caudle, Susan

Caudle, Susan is an individual health care provider with primary practice located at 2750 Laurel St Ste 305 , Columbia SC 29204-2025. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Caudle, Susan can be contacted via phone (803) 254-5140.

Contact Information

Primary practice address
2750 Laurel St Ste 305 Columbia SC 29204-2025
Phone: (803) 254-5140
Fax: (803) 779-1279
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA 335 South Carolina

Profile Details

NPI number 1760898621
LBN Legal business name Caudle, Susan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2014
Last updated Aug 25th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760898621 NPPES
South Carolina MEDICAID 3047PA

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