Individual provider · Type 1 NPI
David Orlando Caraballo, PA
Medical Physician Assistant · Ridgeland, SC
NPI number
1114253242
Active
Practice location
109 S. Green Street
Ridgeland, SC 29936
Fax (843) 726-6778
Mailing address
836 E. 65th Street, Suite 22
Savannah, GA 31405
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | None listed |
| Medical Physician Assistant Primary | 363AM0700X | 1806 (SC) |
Medical Physician Assistant: Definition to come...
About NPI 1114253242
David Orlando Caraballo, PA's National Provider Identifier is 1114253242, issued on Oct 24, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Ridgeland, SC. The record was last updated on Jul 17, 2021.