Healthcare Provider Details

I. General information

NPI: 1184710808
Provider Name (Legal Business Name): CYNTHIA F GRAVES M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 STADIUM DRIVE
MORGANTOWN WV
26506
US

IV. Provider business mailing address

P O BOX 897
MORGANTOWN WV
26507-0897
US

V. Phone/Fax

Practice location:
  • Phone: 304-599-8480
  • Fax: 304-293-6963
Mailing address:
  • Phone: 304-293-7032
  • Fax: 304-293-6963

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number17652
License Number StateWV
# 2
Primary TaxonomyY
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License Number17652
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: