Individual
MR. JASON MICHAEL GRAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3001 N BOULEVARD, RICHMOND, VA 23230-4331
(804) 359-4444
(804) 342-1275
Mailing address
165 DURHAM ST SW, MARIETTA, GA 30064-3203
(678) 594-0159
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT000436
GA
Other
Enumeration date
04/10/2006
Last updated
07/08/2007
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