Cawthon, Wanda

Cawthon, Wanda is an individual health care provider with primary practice located at 1211 48Th Avenue N , Myrtle Beach SC 29577. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Cawthon, Wanda can be contacted via phone (843) 449-1000.

Contact Information

Primary practice address
1211 48Th Avenue N Myrtle Beach SC 29577
Phone: (843) 449-1000
Fax: (843) 449-1009
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X A17675 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN072630 Georgia

Profile Details

NPI number 1356374334
LBN Legal business name Cawthon, Wanda
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated May 12th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356374334 NPPES
Georgia MEDICAID 000498825D

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