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LUDWIG V CAVALIERE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
640 MARTIN LUTHER KING JR BLVD, SUITE 200, MACON, GA 31201-3206
(478) 745-5455
(478) 745-2915
Mailing address
640 MARTIN LUTHER KING JR BLVD, SUITE 200, MACON, GA 31201-3206
(478) 745-5455
(478) 745-2915

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
33290
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000430911AA
GA
05
000430911AC
GA
05
000430911AD
GA
05
000430911AE
GA
05
000430911AF
GA
05
000430911AG
GA
05
000430911AH
GA
05
000430911E
GA
05
000430911G
GA
05
000430911H
GA
05
000430911L
GA
05
000430911M
GA
05
000430911N
GA
05
000430911S
GA
05
000430911T
GA
05
000430911U
GA
05
000430911V
GA
05
000430911X
GA
05
000430911Y
GA
05
000430911Z
GA
01
110045177
RAILROAD MEDICARE
01
281691
BLUECROSS
Enumeration date
07/18/2005
Last updated
02/17/2011
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