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Individual

RONNIE MATTHEW GRAVETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
625 19TH ST S, BIRMINGHAM, AL 35249-1500
(205) 934-2490
Mailing address
625 19TH ST S, BIRMINGHAM, AL 35249-1500

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
34857
AL

Other

Enumeration date
05/29/2012
Last updated
06/28/2023
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