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NPI Code Detail

MEDICARE: DR. WILLIAM LOUIS CAUTHEN JR. MD

MEDICARE: DR. WILLIAM LOUIS CAUTHEN JR. MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician2021034317MO
2207P00000XEmergency Medicine Physician57335KY
3207P00000XEmergency Medicine Physician12928SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174507578
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM LOUIS CAUTHEN JR. MD
Provider Business Mailing Address
First Line : 947 S IRBY ST
Second Line :
City : FLORENCE
State : SC
Zip : 29501-5238
Country : US
Telephone Number : 843-629-7074
Fax Number : 843-629-7274
Provider Business Practice Location Address
First Line : 805 PAMPLICO HWY
Second Line :
City : FLORENCE
State : SC
Zip : 29505-6047
Country : US
Telephone Number : 843-674-5143
Fax Number : 843-674-5146
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2005
Last Update Date : 12/16/2022

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