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Individual
JERRY DAVID CADE
Active
Individual
JERRY DAVID CADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
19787
NC
207Q00000X
Family Medicine Physician
Primary
19787
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00513
BCBS
NC
01
—
0081P
BCBS SWINGBED
NC
01
—
014MX
BCBS LABS
NC
01
—
07673
BCBS PHYSICIAN
NC
01
—
20642
BCBS INDIVIDUAL PROVIDER
NC
01
—
235013
MEDICARE PHYSICIAN
NC
01
—
235013B
MEDICARE PHYSICIAN
NC
01
—
3400011
MEDCAID
NC
01
—
34U011
MEDICARE SWINGBED
NC
01
—
411013849
MEDICARE RAILROAD
NC
01
—
8907673
MEDICAID PHYSICIAN
NC
05
—
8920642
—
NC
Enumeration date
07/12/2006
Last updated
07/24/2014
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