Individual
BRANDON GABE GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP CRNA
Contact information
Practice address
705 DIXIE ST, CARROLLTON, GA 30117-3818
(770) 812-9666
Mailing address
645 E MISSOURI AVE, STE 300, PHOENIX, AZ 85012-1351
(602) 262-8917
(602) 262-8890
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
239737
AZ
367500000X
Certified Registered Nurse Anesthetist
Primary
RN288492
GA
Other
Enumeration date
07/11/2019
Last updated
05/07/2020
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