Organization
CRAVEN NEUROLOGIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM JAMES CRAVEN M.D. (PHYSICIAN/OWNER)
(252) 399-7500
Entity
Organization
Contact information
Practice address
2402 CAMDEN ST SW, SUITE 100, WILSON, NC 27893-8608
(252) 399-7500
(252) 399-0123
Mailing address
2402 CAMDEN ST SW, SUITE 100, WILSON, NC 27893-8608
(252) 399-7500
(252) 399-0123
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
38597
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2169750D
MEDICARE ID - TYPE UNSPECIFIED
NC
01
—
25321
BLUE CROSS AND BLUE SHIELD OF NC
NC
05
—
8925321
—
NC
Enumeration date
01/15/2010
Last updated
01/15/2010
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