Individual
SOPHIA CACCAVALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1200 N ELM ST, GREENSBORO, NC 27401-1004
(336) 207-7005
Mailing address
PO BOX 10467, 1200 NORTH ELM ST, GREENSBORO, NC 27404-0467
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-07997
NC
Other
Enumeration date
03/31/2018
Last updated
03/31/2018
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