Provider Demographics
NPI:1093771586
Name:CAWLEY, C MICHAEL III (MD)
Entity Type:Individual
Prefix:
First Name:C
Middle Name:MICHAEL
Last Name:CAWLEY
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1365 CLIFTON RD NE
Mailing Address - Street 2:STE B6200
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30322
Mailing Address - Country:US
Mailing Address - Phone:404-778-5770
Mailing Address - Fax:404-778-5121
Practice Address - Street 1:1365 CLIFTON RD NE
Practice Address - Street 2:STE B6200
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322
Practice Address - Country:US
Practice Address - Phone:404-778-5770
Practice Address - Fax:404-778-5121
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA045741207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
14BDCFQMedicare ID - Type Unspecified
A15350Medicare UPIN