Individual
TED R GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
942 ANDREW JACKSON DR, WAYNESBORO, TN 38485-2360
(931) 722-3272
Mailing address
183 NORTHVIEW RD, HOHENWALD, TN 38462-3402
(931) 626-2052
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LDC0739
TN
Other
Enumeration date
06/28/2018
Last updated
06/28/2018
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