person
Matthew L Graves, MD
Specialist in Jackson, Mississippi
NPI 1891702148

Matthew L Graves is a Specialist based in Jackson, MS. Matthew L Graves practices in Jackson, MS and has the professional credentials of MD. The NPI Number for Matthew L Graves is 1891702148 and holds a License No. 18139 (Mississippi).

The current practice location address for Matthew L Graves is 2500 N State St, Jackson, MS and can be reached out via phone at 601-984-6525 and via fax at 601-815-1722.

Location: 2500 N State St, Jackson, MS, 39216-4500
person
Provider Profile Details
NPI Number
1891702148
Provider Name
Matthew L Graves
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2500 N State St, Jackson, MS, 39216-4500
Phone Number
601-984-6525
Fax Number
601-815-1722
Provider Enumeration Date
08/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
156441 05 AL
1891702148 01 MS NPI
512G700003 01 MS UP MEDICARE
1335061 05 LA
106655 05 AL
512I200002 01 MS MEDICARE PTAN
P00643807 01 MS UP RRMCR PTAN
01301804 05 MS
18139 01 MS MEDICAL LICENSE
200000517 01 MS MEDICARE
institution
Provider Business Practice Location Address Details
Address
2500 N State St
City
State
Zip
39216-4500
Phone Number
601-984-6525
Fax Number
601-815-1722
person
Provider Business Mailing Address Details
Address
2500 N State St
City
State
Zip
39216-4500
Phone Number
601-984-6525
Fax Number
601-815-1722
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
18139 (Mississippi)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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