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Individual

DANTE J. GRAVES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4230 HARDING RD, SUITE 330, NASHVILLE, TN 37205-2013
(615) 269-4545
(615) 565-6789
Mailing address
501 GREAT CIRCLE RD, SUITE 200, NASHVILLE, TN 37228-1317
(615) 269-4545
(615) 565-6789

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25384
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3828935
TN
01
6012062
BLUE CROSS-BLUE SHILED
TN
01
P00449706
RR MEDICARE
TN
Enumeration date
06/02/2006
Last updated
10/17/2014
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