NPI | 1871875021 |
---|---|
Former Legal Business Name | MELISSA GRAVES FAMILY MEDICINE PLLC |
Entity Type | Organization |
Authorized Contact | JENNIFER HUFF Office Manager 304-597-2499 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WV 23330) |
208000000X Pediatrics | |
Enumeration Date | 2011-09-14 |
Last Update Date | 2022-01-14 |