Individual
JAMES BENJAMIN CRAVEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4300 W MAIN ST, SUITE 102, DOTHAN, AL 36305-1054
(334) 793-9564
(334) 671-8907
Mailing address
4300 W MAIN ST, SUITE 102, DOTHAN, AL 36305-1054
(334) 793-9564
(334) 671-8907
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
15836
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000032378
—
AL
05
—
00752474A
—
GA
05
—
255135700
—
FL
Enumeration date
09/09/2005
Last updated
03/11/2009
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