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Individual

DAVID CAUTHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
501 REDMOND RD NW, ANESTHESIOLOGY DEPARTMENT, ROME, GA 30165-1415
(706) 291-0291
Mailing address
1193 HORSELEG CREEK RD SW, ROME, GA 30165-7220
(706) 506-1957

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
000989
GA
367H00000X
Anesthesiologist Assistant
Primary
000989
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100002299B
GA
05
100002299C
GA
01
P00217961
RAILROAD MEDICARE
GA
Enumeration date
05/31/2006
Last updated
04/20/2020
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