Leroy T. Gravatte IV M.D.

NPI 1043269129 - Family Medicine - 207Q00000X

NPI Details
NPI 1043269129
Gender Male
Enumeration Date 05/08/2006
Last Updated 03/29/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
16240 BENNETT RD
CULPEPER VA, 22701-4630, US
Phone (540) 825-5951
Fax (540) 825-5971
Business Location
PO BOX 9007
CHARLOTTESVILLE VA, 22906-9007, US
Phone
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Virginia
License Number 0101042101
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According to our database, Leroy T. Gravatte IV M.D. NPI is 1043269129, taxonomy code is 207Q00000X and license number is 0101042101, license state is located at Virginia. Leroy T. Gravatte IV M.D. physically located at 16240 Bennett Rd, Culpeper VA, 22701-4630. NPI Number Leroy T. Gravatte IV M.D. has the Individual type.

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1043269129 NPI number is provided on an as is basis without warranty of any kind. 1043269129 is maintained by the National Plan & Provider Enumeration System. The contents of Leroy T. Gravatte IV M.D. are for informational purposes only.