Provider Demographics
NPI:1134973753
Name:SATTERFIELD, CALEB JESSE (RN)
Entity type:Individual
Prefix:
First Name:CALEB
Middle Name:JESSE
Last Name:SATTERFIELD
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4596 HIGHWAY 101
Mailing Address - Street 2:
Mailing Address - City:WOODRUFF
Mailing Address - State:SC
Mailing Address - Zip Code:29388-9143
Mailing Address - Country:US
Mailing Address - Phone:864-641-5174
Mailing Address - Fax:
Practice Address - Street 1:4596 HIGHWAY 101
Practice Address - Street 2:
Practice Address - City:WOODRUFF
Practice Address - State:SC
Practice Address - Zip Code:29388-9143
Practice Address - Country:US
Practice Address - Phone:864-641-5174
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-11
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC243287163WN0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive CareGroup - Single Specialty