IndividualActive
David Caraballo, PA
NPI 1114253242 · Medical Physician Assistant · Ridgeland, SC
Provider details
- NPI number
- 1114253242
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Medical Physician Assistant363AM0700X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
109 S. Green Street
Ridgeland, SC 29936
Phone: (843) 726-6773
Fax: (843) 726-6778
Approximate (ZIP-level) locationGet directions
Mailing address
836 E. 65th Street
Savannah, GA 31405
Registry dates
- Enumerated
- 2009-10-24
- Last updated
- 2021-07-17
- Certified
- 2021-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.