Individual
TIAH CAVINESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5710 K HIGH POINT RD, 181, GREENSBORO, NC 27407
(336) 283-0404
Mailing address
5710 K HIGH POINT RD, 181, GREENSBORO, NC 27407
(336) 283-0404
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
7873102
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
453819207
—
NC
Enumeration date
12/02/2011
Last updated
12/02/2011
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