Individual
BROOKE GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11200 GOVERNOR MANLY WAY, RALEIGH, NC 27614-8599
(919) 562-9410
Mailing address
11200 GOVERNOR MANLY WAY, RALEIGH, NC 27614-8599
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001007169
NC
Other
Enumeration date
04/02/2017
Last updated
04/02/2017
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