Provider Demographics
NPI:1083402648
Name:ROWELL, CAITLIN OLIVIA (PA)
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:OLIVIA
Last Name:ROWELL
Suffix:
Gender:
Credentials:PA
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Mailing Address - Street 1:8395 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:WAYCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:31503-1207
Mailing Address - Country:US
Mailing Address - Phone:912-590-5797
Mailing Address - Fax:
Practice Address - Street 1:6675 CORPORATE CENTER PKWY
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-8079
Practice Address - Country:US
Practice Address - Phone:912-590-5797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant