Perdue, Caroline Grace

Perdue, Caroline Grace is an individual health care provider with primary practice located at 2 Medical Park Rd Ste 300 , Columbia SC 29203-6839. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Perdue, Caroline Grace can be contacted via phone (803) 434-8800.

Contact Information

Primary practice address
2 Medical Park Rd Ste 300 Columbia SC 29203-6839
Fax: (803) 434-8802
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 3268 South Carolina

Profile Details

NPI number 1215403084
LBN Legal business name Perdue, Caroline Grace
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2018
Last updated Jan 13th, 2026 - about 9 months 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 1215403084 NPPES
South Carolina MEDICAID 3391PA

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