Individual
GEORGE BRADFORD CABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 J L WHITE DR STE 120, JASPER, GA 30143-4894
(706) 692-3539
Mailing address
PO BOX 407, VIDALIA, GA 30475-0407
(912) 537-4986
(912) 538-8166
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
204938
MA
207V00000X
Obstetrics & Gynecology Physician
Primary
64194
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0123731
—
MA
01
—
131271
HARVARD PILGRIM
MA
01
—
J22792
BLUE CROSS & BLUE SHIELD
MA
Enumeration date
09/20/2006
Last updated
01/14/2022
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