Provider Demographics
NPI:1881786747
Name:CAUGHMAN, ROMICO DIONE (RN)
Entity type:Individual
Prefix:MS
First Name:ROMICO
Middle Name:DIONE
Last Name:CAUGHMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 1/2 SAMSON CIR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29203-4945
Mailing Address - Country:US
Mailing Address - Phone:803-786-0940
Mailing Address - Fax:
Practice Address - Street 1:61 1/2 SAMSON CIR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203-4945
Practice Address - Country:US
Practice Address - Phone:803-786-0940
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC70050163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health