Caviness, Cornell
Caviness, Cornell is an individual health care provider with primary practice located at 1075 N Fraser St , Georgetown SC 29440-2848. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Caviness, Cornell can be contacted via phone (843) 527-3588.Contact Information
Primary practice address
1075 N Fraser St
Georgetown SC 29440-2848
Phone: (843) 527-3588
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A342 | South Carolina |
Profile Details
| NPI number | 1558413435 |
|---|---|
| LBN Legal business name | Caviness, Cornell |
| Credentials | PA C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Dec 29th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558413435 | NPPES |
| South Carolina | MEDICAID | GP1371 | |
| South Carolina | MEDICAID | RHC168 |
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