Individual
MARY FRANCES GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5580 INN RD, MOBILE, AL 36619-1904
(251) 666-7413
(251) 666-7417
Mailing address
PO BOX 2867, MOBILE, AL 36652-2867
(251) 690-8158
(251) 544-2188
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.1536
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
242269
—
AL
05
—
242341
—
AL
05
—
242342
—
AL
05
—
242349
—
AL
05
—
242369
—
AL
05
—
242534
—
AL
05
—
242694
—
AL
05
—
242790
—
AL
05
—
242791
—
AL
Enumeration date
10/18/2019
Last updated
01/27/2020
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