SearchTennessee207QA0505X

Shirley Gravenor, M.D

NPI 1871928556 · on the registry since 2013 · sole proprietor

Practice

Address
2636 Park Creek Dr
Germantown, TN 38139
Phone
(901) 737-7779

Registry record

Primary taxonomy
207QA0505X
207QA0505X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-09-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee