Organization
ANNA M. CABECA DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TROY DONAL BIVENS (MANAGER)
(912) 267-7780
Entity
Organization
Contact information
Practice address
2712 PARKWOOD DR, BRUNSWICK, GA 31520-4727
(912) 267-7780
(912) 267-6293
Mailing address
2712 PARKWOOD DR, BRUNSWICK, GA 31520-4727
(912) 267-7780
(912) 267-6293
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
042537
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659493484
—
GA
Enumeration date
12/14/2007
Last updated
02/11/2008
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