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General NPI Number Information
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NPI Number | 1558366534
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Entity Type | Individual
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Provider Name | ASHLEY C CAVALIER MD
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Gender | Female
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Dates
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Enumeration Date | 06/16/2005
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Last Update Date | 07/08/2024
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Provider Practice Location Address
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Address Line | 7000 WELLNESS WAY STE 7120
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City | ST SIMONS ISLAND
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State | GA
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Zip | 31522-2286
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Country | US
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Telephone | 912-634-4966
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Fax | 912-634-6542
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Provider Business Mailing Address
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Address Line | 801 YORK ST
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City | MANITOWOC
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State | WI
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Zip | 54220-4630
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Country | US
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Telephone | 920-663-9008
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Fax | 920-684-1439
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 55556
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License Number State | GA
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