Individual
JOHNATHAN GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 CAMDEN WOODS DR, THOMASVILLE, NC 27360-8911
(336) 880-2106
Mailing address
220 CAMDEN WOODS DR, THOMASVILLE, NC 27360-8911
(336) 880-2106
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
27528652
NC
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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