Individual
DR. WILLIAM EDWARD CAGLE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 15TH ST, DEPARTMENT OF PEDIATRICS CRITICAL CARE, AUGUSTA, GA 30912-0004
(706) 721-2191
Mailing address
1499 WALTON WAY, SUITE 1400, AUGUSTA, GA 30901-2602
(706) 724-6100
(706) 724-1600
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD038634
DC
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
069771
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
069771
LICENSE
GA
Enumeration date
06/28/2007
Last updated
08/16/2013
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