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Individual

BETHANY MILLIRON CAVAZUTI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
790 CHURCH ST NE STE 400, MARIETTA, GA 30060-8957
(678) 239-0420
Mailing address
PO BOX 3157, INDIANAPOLIS, IN 46206-3157
(855) 871-1526
(855) 277-8543

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
077982
GA
2085R0202X
Diagnostic Radiology Physician
Primary
077982
GA

Other

Enumeration date
04/06/2011
Last updated
05/01/2023
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