Organization · Type 2 NPI
Jacquette Caldwell MD PA
Radiology Clinic/Center · Columbia, SC
NPI number
1124370713
Active
Practice location
28 Wildeoak Ct
Columbia, SC 29223-3292
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology Clinic/Center Primary | 261QR0200X | 023105 (SC) |
Radiology Clinic/Center: Definition to come...
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About NPI 1124370713
Jacquette Caldwell MD PA's National Provider Identifier is 1124370713, issued on Oct 8, 2012. The primary taxonomy on file is Radiology Clinic/Center (261QR0200X), and the practice location is in Columbia, SC. The record was last updated on Oct 8, 2012.