Individual
MR. JASON BRIAN GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
10509 PENMARRIC COURT, CHARLOTTE, NC 28270
(228) 224-6523
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 778-8079
(615) 778-8079
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1-118848
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
R887060
MS
Other
Enumeration date
12/05/2008
Last updated
02/20/2017
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