Individual
MICHAEL CHRISTIAN GRAVETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPA
Contact information
Practice address
150 CLINIC AVE, SUITE 101, CARROLLTON, GA 30117-4401
(770) 834-0873
Mailing address
150 CLINIC AVE, STE 101, CARROLLTON, GA 30117-4401
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
GA
Other
Enumeration date
09/22/2006
Last updated
08/17/2022
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