MEDICARE: AMBER DAWN CASWELL 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
1	207Q00000X	Family Medicine Physician	32529	SC
2	207P00000X	Emergency Medicine Physician	32529	SC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2073949	OTHER	NC	MEDICARE PTAN

General Provider Information

NPI Number	:	1437303476
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBER DAWN CASWELL MD

Provider Business Mailing Address
First Line	:	PO BOX 749306
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-9306
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	845 WILLIAM HILTON PKWY
Second Line	:
City	:	HILTON HEAD ISLAND
State	:	SC
Zip	:	29928-3404
Country	:	US
Telephone Number	:	843-341-2416
Fax Number	:	843-341-2417

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/04/2008
Last Update Date	:	01/15/2025

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