MEDICARE: CHRISTOPHER LAWRENCE GRAVES RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN219460	GA

General Provider Information

NPI Number	:	1710840939
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER LAWRENCE GRAVES RN

Provider Business Mailing Address
First Line	:	10706 WEIR WAY
Second Line	:
City	:	JOHNS CREEK
State	:	GA
Zip	:	30022-4564
Country	:	US
Telephone Number	:	678-361-0484
Fax Number	:

Provider Business Practice Location Address
First Line	:	3301 BUCKEYE RD
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30341-4236
Country	:	US
Telephone Number	:	770-458-8500
Fax Number	:	770-458-9050

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/04/2025
Last Update Date	:	12/04/2025

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