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NPI Code Detail

MEDICARE: DR. SUSAN M CLAYTOR-CALDWELL M.D.

MEDICARE:  DR. SUSAN M CLAYTOR-CALDWELL  M.D.
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
12080A0000XPediatric Adolescent Medicine Physician12583SC

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 : 1568421725
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUSAN M CLAYTOR-CALDWELL M.D.
Provider Business Mailing Address
First Line : 237 LONGTOWN RD
Second Line :
City : COLUMBIA
State : SC
Zip : 29229-8550
Country : US
Telephone Number : 803-404-5638
Fax Number :
Provider Business Practice Location Address
First Line : 237 LONGTOWN RD
Second Line :
City : COLUMBIA
State : SC
Zip : 29229-8550
Country : US
Telephone Number : 803-404-5638
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2006
Last Update Date : 04/28/2023

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Directions to “ DR. SUSAN M CLAYTOR-CALDWELL M.D.” Practice Location

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