Cadavid Sepulveda, Juan Carlos

Cadavid Sepulveda, Juan Carlos is an individual health care provider with primary practice located at 1505 Northside Blvd Ste 3500 , Cumming GA 30041-8223. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Cadavid Sepulveda, Juan Carlos can be contacted via phone (770) 292-3120.

Contact Information

Primary practice address
1505 Northside Blvd Ste 3500 Cumming GA 30041-8223
Phone: (770) 292-3120
Fax: (770) 292-3121
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 068126 Georgia
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MD 438781 Pennsylvania
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 068126 Georgia

Profile Details

NPI number 1346455425
LBN Legal business name Cadavid Sepulveda, Juan Carlos
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2007
Last updated May 8th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346455425 NPPES
Georgia MEDICAID 003126963B

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