Individual
DR. ERIC W GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8190 SEATON PL, MONTGOMERY, AL 36116-7204
(334) 396-9100
Mailing address
PO BOX 240369, MONTGOMERY, AL 36124-0369
(334) 396-9100
(334) 396-9110
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18286Q
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051033486
BCBS
AL
Enumeration date
11/09/2005
Last updated
12/28/2009
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