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Dr. Shirley Gravenor, MD
Adult Medicine Physician in Germantown, Tennessee
NPI 1871928556

Shirley Gravenor is an Adult Medicine Physician based in Germantown, TN and is specialized in Adult Medicine. Shirley Gravenor practices in Germantown, TN and has the professional credentials of MD. The NPI Number for Shirley Gravenor is 1871928556 and holds a License No. MD0000034785 (Tennessee).

The current practice location address for Shirley Gravenor is 2636 Park Creek Dr, Germantown, TN and can be reached out via phone at 901-737-7779.

Location: 2636 Park Creek Dr, Germantown, TN, 38139-6556
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871928556
Provider Name
Shirley Gravenor
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2636 Park Creek Dr, Germantown, TN, 38139-6556
Phone Number
901-737-7779
Fax Number
Provider Enumeration Date
09/12/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2636 Park Creek Dr
City
Germantown
State
Tennessee
Zip
38139-6556
Phone Number
901-737-7779
Fax Number
person
Provider Business Mailing Address Details
Address
2636 Park Creek Dr
City
Germantown
State
Tennessee
Zip
38139-6556
Phone Number
901-737-7779
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
MD0000034785 (Tennessee)
Definition
Definition to come.
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