Doctor Name: | DONNA GAIL CAIN |
NPI Number: | 1275646358 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | APN936 |
Business Practice Address: | 999 Cheraw St Bennettsville, SC - 295122420 |
Business Phone Number: | 8434792341 |
Business Fax Number: | |
Mailing Address: | 999 Cheraw St, BENNETTSVILLE |
State: | SC |
Postal Code: | 295122420 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/16/2006 |
NPI Last Update Date: | 01/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | APN936 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |