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
Phone: (803) 434-8800
Fax: (803) 434-8802
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215403084 | NPPES |
| South Carolina | MEDICAID | 3391PA |
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