Individual
MELISSA GAIL CAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
BUILDING 301 ANDREWS AVE., LYSTER ARMY HEALTH CLINIC, FT. RUCKER, AL 36362
(334) 255-7383
Mailing address
BUILDING 301 ANDREWS AVE., LYSTER ARMY HEALTH CLINIC, ENTERPRISE, AL 36330
(334) 379-5249
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-064153
AL
Other
Enumeration date
01/26/2011
Last updated
01/26/2011
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