Craven, James Benjamin

Craven, James Benjamin is an individual health care provider with primary practice located at 4300 W Main St Suite 102, Dothan AL 36305-1054. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Craven, James Benjamin can be contacted via phone (334) 793-9564.

Contact Information

Primary practice address
4300 W Main St Suite 102 Dothan AL 36305-1054
Phone: (334) 793-9564
Fax: (334) 671-8907
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 15836 Alabama

Profile Details

NPI number 1659365104
LBN Legal business name Craven, James Benjamin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Mar 11th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659365104 NPPES
Georgia MEDICAID 00752474A
Georgia MEDICAID 000032378
Georgia MEDICAID 255135700

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