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NPI Code Detail

MEDICARE: MS. CAITLIN MARIE DRUM PA

MEDICARE: MS. CAITLIN MARIE DRUM PA
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
1363A00000XPhysician Assistant0010-13339NC
2363AS0400XSurgical Physician AssistantPA9116313FL
3363AS0400XSurgical Physician Assistant0010-13339NC

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 : 1336887033
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CAITLIN MARIE DRUM PA
Provider Business Mailing Address
First Line : PO BOX 936857
Second Line :
City : ATLANTA
State : GA
Zip : 31193-6857
Country : US
Telephone Number : 910-662-9384
Fax Number : 910-667-2566
Provider Business Practice Location Address
First Line : 1726 NEW HANOVER MEDICAL PARK DR
Second Line :
City : WILMINGTON
State : NC
Zip : 28403-5344
Country : US
Telephone Number : 910-662-9384
Fax Number : 910-667-2566
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2022
Last Update Date : 08/13/2024

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Directions to “ MS. CAITLIN MARIE DRUM PA” Practice Location

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