Individual provider · Type 1 NPI

Caitlin Elena Reveal, PA-C

Physician Assistant · Charleston, SC

NPI number 1104607597 Active

Practice location

1470 Tobias Gadson Blvd Ste 110
Charleston, SC 29407-4835

Call (843) 402-5400 Map

Fax (843) 402-1163

Mailing address

PO Box 751649
Charlotte, NC 28275-1649

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1104607597

Caitlin Elena Reveal, PA-C's National Provider Identifier is 1104607597, issued on Oct 11, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Charleston, SC. The record was last updated on Oct 2, 2025.