Individual
MR. GEORGE EDWARD GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA07
Contact information
Practice address
1 MEDICAL CENTER DR, DARTMOUTH-HITCHCOCK CLINIC, LEBANON, NH 03756-1000
(603) 650-5000
Mailing address
74 BUTTERNUT RD, NORWICH, VT 05055-9790
(802) 649-3957
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
036510-23-11
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ORE5052
—
VT
Enumeration date
06/30/2006
Last updated
07/08/2007
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