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1487656930

NPI Code Detail

MEDICARE: STUART A CAVALIERI MD

MEDICARE: STUART A CAVALIERI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	MD00037637	WA
2	207RI0011X	Interventional Cardiology Physician	MD00037637	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487656930
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STUART A CAVALIERI MD

Provider Business Mailing Address
First Line	:	1 FREEDOM WAY
Second Line	:	CARDIOLOGY SECTION (251)
City	:	AUGUSTA
State	:	GA
Zip	:	30904-6258
Country	:	US
Telephone Number	:	706-733-0188
Fax Number	:	706-823-3911

Provider Business Practice Location Address
First Line	:	1 FREEDOM WAY
Second Line	:	CARDIOLOGY SECTION (251)
City	:	AUGUSTA
State	:	GA
Zip	:	30904-6258
Country	:	US
Telephone Number	:	706-733-0188
Fax Number	:	706-823-3911

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2005
Last Update Date	:	01/29/2016

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Directions to “ STUART A CAVALIERI MD” Practice Location

Language	Start Address	Practice Location

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