Individual
JEFFREY M GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7001 FOREST AVE, SUITE 302, RICHMOND, VA 23230-1726
(804) 237-8282
(804) 672-4948
Mailing address
7001 FOREST AVE, SUITE 302, RICHMOND, VA 23230-1726
(804) 237-8282
(804) 672-4948
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101034376
VA
207R00000X
Internal Medicine Physician
20427
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000894844
BLUE CROSS BLUE SHIELD
WV
01
—
P00013537
RAILROAD PTAN
WV
01
—
P00013537
RAILROAD MEDICARE
—
Enumeration date
06/03/2006
Last updated
01/03/2012
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