Individual
DR. MARIA CAVALIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
682 HEMLOCK ST, SUITE 200, MACON, GA 31201-6883
(478) 746-0901
(478) 330-6150
Mailing address
682 HEMLOCK ST, SUITE 200, MACON, GA 31201-6883
(478) 746-0901
(478) 330-6150
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
055662
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447338413
IND NPI
GA
01
—
1689826315
GROUP NPI
GA
05
—
594949079A
—
GA
05
—
594949079E
—
GA
01
—
DO7908
RAILROAD MCARE GRP #
GA
01
—
P00706992
RAILROAD MEDICARE PTAN
GA
Enumeration date
11/01/2006
Last updated
01/17/2017
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