Individual
DR. GRAIG E BLEVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(856) 342-2000
Mailing address
104 BRADDOCK LN, WOODBURY, NJ 08096-5140
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
25MB0359000
NJ
207P00000X
Emergency Medicine Physician
Primary
OS12408
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/08/2008
Last updated
05/16/2014
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