Individual
MR. ERNIE L GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
213 RIVER WALK PKY, STE 101, CHESAPEAKE, VA 23320
(757) 548-1400
(757) 548-2312
Mailing address
213 RIVER WALK PKY, STE 101, CHESAPEAKE, VA 23320
(757) 548-1400
(757) 548-2312
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110840536
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008944962
—
VA
Enumeration date
02/22/2006
Last updated
08/04/2014
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