Individual
DR. DONALD ST. PAUL GRAVENOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6029 WALNUT GROVE RD, SUITE #301, MEMPHIS, TN 38120-2112
(901) 747-9081
(901) 747-9087
Mailing address
965 RIDGE LAKE BLVD STE 103, MEMPHIS, TN 38120-9446
(901) 227-8591
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
17589
MS
207RH0003X
Hematology & Oncology Physician
Primary
30833
TN
207RH0003X
Hematology & Oncology Physician
E-3381
AR
Other
Enumeration date
07/13/2005
Last updated
06/23/2021
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