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1902591001
CALEB SHIELDS
COLUMBIA, SC
NPI
1902591001
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: SC LL89719)
Enumeration Date
2023-04-06
Last Update Date
2023-07-07
Business Address
CALEB SHIELDS
14 RICHLAND MEDICAL PARK DR
COLUMBIA, SC 29203-6877
Phone number: 803-434-3790
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Mailing Address
CALEB SHIELDS
14 RICHLAND MEDICAL PARK DR
COLUMBIA, SC 29203-6877
Phone number:
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