Individual
JAMES W CAVINESS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2080 W ARLINGTON BLVD STE B, GREENVILLE, NC 27834-3770
(252) 752-2140
(252) 689-6502
Mailing address
2080 W ARLINGTON BLVD STE B, GREENVILLE, NC 27834-3770
(252) 752-2140
(252) 689-6502
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
177525
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
2217
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548558281
TRICARE
NC
05
—
8054017
—
NC
01
—
P01042936
RAILROAD MEDICARE
—
Enumeration date
07/15/2011
Last updated
04/23/2021
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