# GRAVES MEDICAL PRACTICE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437271707
- **Authorized official:** DR. WILLIAM RICK GRAVES D.O. (OWNER)
- **Authorized official phone:** (304) 258-6327

## Contact information

- **Practice address:** 261 BERKMORE PL, SUITE 1A, BERKELEY SPRINGS, WV 25411-6247
- **Practice address phone:** (304) 258-6327
- **Practice address fax:** (304) 258-6332
- **Mailing address:** PO BOX 598, BERKELEY SPRINGS, WV 25411-0598
- **Mailing address phone:** (304) 258-6327
- **Mailing address fax:** (304) 258-6332

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 1301 | WV | Yes |

## Other

- **Enumeration date:** 04/06/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2006631000 | — | WV |