SearchGeorgia101YP2500X

Jason Cavin

NPI 1205070166 · on the registry since 2009 · sole proprietor

Practice

Address
1301 Shiloh Rd
Kennesaw, GA 30144
Phone
(866) 278-3194
Fax
(866) 278-3194
Clinicians at this address
2

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
103K00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-01-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia