| |
907 N Main St Po Office Box 1054 Travelers Rest SC 29690-1054 | |
(864) 834-4191 | |
(864) 834-1964 |
Full Name | |
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Speciality | Family Medicine |
Location | 907 N Main St, Travelers Rest, South Carolina |
Authorized Official Name and Position | Titus Daniel Caddell (DOCTOR) |
Authorized Official Contact | 8648414191 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Office Box 1054 907 N Main St Travelers Rest SC 29690-1054 Ph: (864) 834-4191 | 907 N Main St Po Office Box 1054 Travelers Rest SC 29690-1054 Ph: (864) 834-4191 |
NPI Number | 1508002734 |
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Provider Enumeration Date | 12/17/2008 |
Last Update Date | 12/17/2008 |
Identifier | Type | State | Issuer |
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1508002734 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 12475 (South Carolina) | Primary |
Preserve Health, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 135 Botanical Circle, Travelers Rest, SC 29690 Phone: 864-836-5322 Fax: 864-371-1812 | |
T. Daniel Caddell Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 907 North Main Street, Travelers Rest, SC 29690 Phone: 864-834-4191 Fax: 864-834-1964 | |