Graves Emergency Group Llc

NPI 1407824063 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1407824063
Enumeration Date 03/09/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name WILLIAM WILLIAM
Position CEO
Phone (270) 251-4100
Fax
Practice Location
1099 MEDICAL CENTER CIR
MAYFIELD KY, 42066-1159, US
Phone (270) 251-4100
Fax
Business Location
200 CORPORATE BLVD
SUITE 201
LAFAYETTE LA, 70508-3870, US
Phone (800) 893-9698
Fax
Toxanomy
Taxonomy Code 363L00000X
License State
License Number
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According to our database, Graves Emergency Group Llc NPI is 1407824063, taxonomy code is 363L00000X Graves Emergency Group Llc physically located at 1099 Medical Center Cir, Mayfield KY, 42066-1159. NPI Number 1033115704 has the healthcare provider type.

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1407824063 NPI number is provided on an as is basis without warranty of any kind. 1407824063 is maintained by the National Plan & Provider Enumeration System. The contents of Graves Emergency Group Llc are for informational purposes only.