Individual
RAVEN JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRT
Contact information
Practice address
700 CROMWELL DR # B, GREENVILLE, NC 27858-5852
(252) 830-2094
(252) 355-7358
Mailing address
700 CROMWELL DR # B, GREENVILLE, NC 27858-5852
(252) 830-2094
(252) 355-7358
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
A4294
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012AG
BCBS NC
NC
05
—
7492718
—
NC
Enumeration date
04/23/2007
Last updated
07/08/2007
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