Individual
DR. MARIO CAYCEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 MARNE ROAD, MARTIN ARMY COMMUNITY HOSPITAL, FORT BENNING, GA 31905
(706) 544-2666
Mailing address
341 LITTLE BEAR DR, CATAULA, CATAULA, GA 31804-4466
(254) 466-6640
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
049137
GA
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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