Individual
NICK GEORGE CAVROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16000 JOHNSTON MEMORIAL DR, SUITE 212A, ABINGDON, VA 24211-7664
(276) 258-3740
(276) 258-3745
Mailing address
16000 JOHNSTON MEMORIAL DR, SUITE 212A, ABINGDON, VA 24211-7664
(276) 258-3740
(276) 258-3745
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101050596
VA
207RI0011X
Interventional Cardiology Physician
0101050596
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851345326
—
VA
05
—
2157175
—
LA
05
—
Q023873
—
TN
Enumeration date
05/20/2006
Last updated
01/30/2017
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