Individual
DR. JONATHAN BARTON GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
616 W. FOREST AVE, JACKSON, TN 38301-3902
(731) 422-0232
(731) 422-0389
Mailing address
616 W. FOREST AVE, JACKSON, TN 38301-3902
(731) 422-0232
(731) 422-0389
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9815
TN
Other
Enumeration date
07/06/2011
Last updated
07/06/2011
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