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Individual
MATTHEW L GRAVES
Active
Individual
MATTHEW L GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
18139
MS
207X00000X
Orthopaedic Surgery Physician
Primary
18139
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01301804
—
MS
05
—
106655
—
AL
05
—
1335061
—
LA
05
—
156441
—
AL
01
—
18139
MEDICAL LICENSE
MS
01
—
1891702148
NPI
MS
01
—
200000517
MEDICARE
MS
01
—
512G700003
UP MEDICARE
MS
01
—
512I200002
MEDICARE PTAN
MS
01
—
P00643807
UP RRMCR PTAN
MS
Enumeration date
08/01/2006
Last updated
02/12/2025
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