Provider Demographics
NPI:1841254067
Name:CAVE, JOHN SEVIER (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:SEVIER
Last Name:CAVE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:300 CONFEDERATE AVE
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28144-2719
Mailing Address - Country:US
Mailing Address - Phone:704-637-7441
Mailing Address - Fax:704-637-7441
Practice Address - Street 1:300 CONFEDERATE AVE
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-2719
Practice Address - Country:US
Practice Address - Phone:704-637-7441
Practice Address - Fax:704-637-7441
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2013-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200101319207R00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89132FEMedicaid
NCE18803Medicare UPIN
NC2007115NMedicare PIN