Provider Demographics
NPI:1518169283
Name:CAVENAR, JESSE OSCAR III (MD)
Entity Type:Individual
Prefix:DR
First Name:JESSE
Middle Name:OSCAR
Last Name:CAVENAR
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:2900 SUSSEX ST APT 8
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-4971
Mailing Address - Country:US
Mailing Address - Phone:252-321-2745
Mailing Address - Fax:
Practice Address - Street 1:1003 12TH ST
Practice Address - Street 2:JOHN UMSTEAD HOSPIAL
Practice Address - City:BUTNER
Practice Address - State:NC
Practice Address - Zip Code:27509-1626
Practice Address - Country:US
Practice Address - Phone:919-575-7211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry