Individual
MARIE JUDITH CAUVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
38 HOSPITAL RD STE A, NEWNAN, GA 30263-1277
(770) 251-4700
Mailing address
PO BOX 102321, ATLANTA, GA 30368-2321
(770) 801-2526
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
059135
GA
207Q00000X
Family Medicine Physician
70158
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
059135
GA STATE LICENSE
GA
05
—
250711100
—
FL
Enumeration date
06/09/2006
Last updated
02/18/2011
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