Individual
BEVERLY JEAN CADWALLADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1129 LAKE OCONEE PKWY STE 104, EATONTON, GA 31024-9581
(762) 220-1962
(762) 220-1961
Mailing address
1129 LAKE OCONEE PKWY STE 104, EATONTON, GA 31024-9581
(762) 220-1962
(762) 220-1961
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
8792
GA
Other
Enumeration date
03/12/2014
Last updated
02/09/2023
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