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Individual

JERRY DAVID CADE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
125 COPPERHEAD BND, BURNSVILLE, NC 28714-7357
(828) 675-5300
(828) 675-5300
Mailing address
125 COPPERHEAD BND, BURNSVILLE, NC 28714-7357
(828) 675-5300
(828) 675-5300

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
19787
NC
207Q00000X
Family Medicine Physician
Primary
19787
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00513
BCBS
NC
01
0081P
BCBS SWINGBED
NC
01
014MX
BCBS LABS
NC
01
07673
BCBS PHYSICIAN
NC
01
20642
BCBS INDIVIDUAL PROVIDER
NC
01
235013
MEDICARE PHYSICIAN
NC
01
235013B
MEDICARE PHYSICIAN
NC
01
3400011
MEDCAID
NC
01
34U011
MEDICARE SWINGBED
NC
01
411013849
MEDICARE RAILROAD
NC
01
8907673
MEDICAID PHYSICIAN
NC
05
8920642
NC
Enumeration date
07/12/2006
Last updated
07/24/2014
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