JOSE M GRAVE DE PERALTA

THOMASVILLE, GA
NPI1033186838
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: GA  038238)
Enumeration Date2006-03-01
Last Update Date2011-01-12
Business Address
-- JOSE M GRAVE DE PERALTA MD
509 GORDON AVE
THOMASVILLE, GA 31792-6645
Phone number: 229-226-7544
Mailing Address
-- JOSE M GRAVE DE PERALTA MD
PO BOX 2258
THOMASVILLE, GA 31799-2258
Phone number: 229-226-7544
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