Individual
GEORGE CAVETT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2450 TWISTED OAK DR, JACKSON, MS 39212-2137
(601) 609-7780
Mailing address
2450 TWISTED OAK DR, JACKSON, MS 39212-2137
(601) 609-7780
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
903068
MS
Other
Enumeration date
12/24/2019
Last updated
12/24/2019
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