MEDICARE: DR. ERICA J CAVENEY 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	174400000X	Specialist		NC

General Provider Information

NPI Number	:	1649238551
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERICA J CAVENEY MD

Provider Business Mailing Address
First Line	:	3021 PUMP STATION RD
Second Line	:	RIVER'S EDGE SUBDIVISION
City	:	DURHAM
State	:	NC
Zip	:	27712-3330
Country	:	US
Telephone Number	:	919-382-9418
Fax Number	:

Provider Business Practice Location Address
First Line	:	3021 PUMP STATION RD
Second Line	:	RIVER'S EDGE SUBDIVISION
City	:	DURHAM
State	:	NC
Zip	:	27712-3330
Country	:	US
Telephone Number	:	919-382-9418
Fax Number	:

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

Provider Enumeration Date	:	05/02/2006
Last Update Date	:	07/08/2007

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