Individual
MS. CARLA MARIE CAVANAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2825 W DUBLIN GRANVILLE RD, COLUMBUS, OH 43235-2712
(614) 336-6000
(614) 336-7272
Mailing address
232 TURNER DR, CHARDON, OH 44024-1524
(440) 286-3784
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.001046
OH
Other
Enumeration date
01/14/2007
Last updated
07/08/2007
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