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NPI Code Detail

MEDICARE: WILLIAM B. CALDWELL DO.

MEDICARE: WILLIAM B. CALDWELL DO.
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
1207L00000XAnesthesiology Physician2018-01343NC
2207LP2900XPain Medicine (Anesthesiology) PhysicianOS6776FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
157404OTHERBLUE CROSS BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194716050
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM B. CALDWELL DO.
Provider Business Mailing Address
First Line : 6135 PARK SOUTH DR STE 510
Second Line :
City : CHARLOTTE
State : NC
Zip : 28210-0100
Country : US
Telephone Number : 704-749-3116
Fax Number :
Provider Business Practice Location Address
First Line : 201 E GROVER ST
Second Line :
City : SHELBY
State : NC
Zip : 28150-3917
Country : US
Telephone Number : 980-487-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2005
Last Update Date : 09/19/2024

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Directions to “ WILLIAM B. CALDWELL DO.” Practice Location

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