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Individual

DR. MARCO ANTONIO CACERES SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
244 SMITH CHURCH RD, ROANOKE RAPIDS, NC 27870-4956
(252) 535-2350
Mailing address
110 WALTER AVE, ROANOKE RAPIDS, NC 27870-1609
(252) 537-7084

Taxonomy

Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
19676
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8920639
NC
Enumeration date
06/16/2007
Last updated
08/23/2010
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