Organization
GRAVES GILBERT CLINIC PLLC
Active
Parent organization
GGC HEALTH, PLLC
Other names
Gilbert Barbee Moore & McIlvoy PSC, Graves Gilbert Clinic, Graves-Gilbert Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
GGC HEALTH, PLLC
Authorized official
MICHAEL E DERAMO DHA (CEO)
(270) 780-0549
Entity
Organization
Contact information
Practice address
165 NATCHEZ TRACE AVE STE 100, BOWLING GREEN, KY 42103-7947
(270) 782-7800
(270) 843-0779
Mailing address
201 PARK ST, BOWLING GREEN, KY 42101-1708
(270) 781-5111
(270) 783-0454
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
HME01042
KY
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/01/2016
Last updated
10/22/2025
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