NPI 1003232265

Beverly Jean Cadwallader, PAC

Practitioner Medical Physician Assistant Eatonton, GA

Practice location

Address: 1129 Lake Oconee Pkwy STE 104, Eatonton, GA 31024-9581
Phone: (762) 220-1962
Fax: (762) 220-1961

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 8792 (GA)

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Registry record

NPI: 1003232265
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Mar 2014
Record last updated: 9 Feb 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.