Individual
MR. DONALD LYNN GRAVES III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT
Contact information
Practice address
210 THIRD ST, BAY ST LOUIS, MS 39520-4229
(985) 974-9196
Mailing address
210 THIRD ST, BAY ST LOUIS, MS 39520-4229
(985) 974-9196
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0517
MS
Other
Enumeration date
01/11/2024
Last updated
01/11/2024
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