Individual
JAMES ROBERT BAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4105 HOLIDAY ST NW, CANTON, OH 44718-2531
(330) 494-2097
(330) 494-9750
Mailing address
4105 HOLIDAY ST NW, CANTON, OH 44718-2531
(330) 494-2097
(330) 494-9750
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35082425
OH
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
35-08-2425
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2468539
—
OH
01
—
P00144116
RAILROAD MEDICARE
OH
Enumeration date
07/10/2006
Last updated
12/06/2007
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