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Tim Gravgaard
NPI 1891472650 · on the registry since 2023 · sole proprietor
Practice
- Address
- 117 Matthews Dr
Elizabeth City, NC 27909 - Phone
- (757) 618-9866
Registry record
- Primary taxonomy
- Driver
172A00000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-07-03
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 North Carolina