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NPI Code Detail

MEDICARE: CHRISTY GRAVES M.D.

MEDICARE:   CHRISTY  GRAVES  M.D.
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
1207R00000XInternal Medicine Physician012272LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013051036
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTY GRAVES M.D.
Provider Business Mailing Address
First Line : 5959 S SHERWOOD FOREST BLVD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70816-6038
Country : US
Telephone Number : 985-643-8510
Fax Number : 225-765-9196
Provider Business Practice Location Address
First Line : 1810 LINDBERG DR STE 1100
Second Line :
City : SLIDELL
State : LA
Zip : 70458-8158
Country : US
Telephone Number : 985-646-0945
Fax Number : 985-643-8510
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2007
Last Update Date : 04/17/2024

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Directions to “ CHRISTY GRAVES M.D.” Practice Location

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