Individual
JOSEPH A KAVANAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6522
(888) 972-8644
Mailing address
PO BOX 678207, DALLAS, TX 75267-8207
(800) 841-4236
(706) 653-1162
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
13245
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132458
—
SC
05
—
890590H
—
NC
Enumeration date
05/01/2006
Last updated
03/27/2019
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