Individual
JONATHAN PAUL CAVANAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 638-4949
(205) 638-4982
Mailing address
1940 ELMER J BISSELL RD, BIRMINGHAM, AL 35243-2941
(205) 638-4949
(205) 638-4982
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
L.3851F
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-867-758-5
ECFMG IDENTIFICATION NUMBER
—
Enumeration date
08/28/2013
Last updated
08/28/2013
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