Individual
MARY ELIZABETH GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1770 DENNIS KEMP LN NW, KENNESAW, GA 30152-3938
(770) 515-9000
Mailing address
1770 DENNIS KEMP LN NW, KENNESAW, GA 30152-3938
(770) 515-9000
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN191607
GA
Other
Enumeration date
03/10/2006
Last updated
12/05/2016
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