Individual
DR. ROBERT W HARGRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
180 GREYSTONE PASS, GUNTERSVILLE, AL 35976-4801
(256) 224-9167
(256) 486-9244
Mailing address
180 GREYSTONE PASS, GUNTERSVILLE, AL 35976-4801
(256) 224-9167
(256) 486-9244
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9277
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000011175
—
AL
01
—
051011175
BCBS OF AL
AL
Enumeration date
05/11/2006
Last updated
01/03/2021
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