Provider Demographics
NPI:1639111982
Name:CAGLE, CURT (RDMS)
Entity Type:Individual
Prefix:
First Name:CURT
Middle Name:
Last Name:CAGLE
Suffix:
Gender:M
Credentials:RDMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4102 CLIFF DR
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:AL
Mailing Address - Zip Code:35504-4450
Mailing Address - Country:US
Mailing Address - Phone:205-275-7447
Mailing Address - Fax:
Practice Address - Street 1:4102 CLIFF DR
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:AL
Practice Address - Zip Code:35504-4450
Practice Address - Country:US
Practice Address - Phone:205-275-7447
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL244702471V0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471V0105XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistVascular Sonography