Matthew L Graves is a Specialist in Jackson, Mississippi. Matthew L Graves practices all healthcare services and medical treatments related to Specialist. The NPI Number for Matthew L Graves is 1891702148. The last update date is 2014-03-04.
Matthew L Graves's current location address is 2500 N State St, Jackson, Mississippi. You can contact this provider via phone number 6019846525 and fax number 6018151722. The mailing address for Matthew L Graves is 2500 N State St, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew L Graves |
|---|---|
| Address | 2500 N State St, Jackson, Mississippi |
| Phone Number | 6019846525 |
| Fax Number | 6018151722 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1891702148 |
|---|---|
| Provider Enumeration Date | 2006-08-01 |
| Last Updated Date | 2014-03-04 |
Provider Mailing Address Detail
| Address | 2500 N State St |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392164500 |
| Phone Number | 6019846525 |
| Fax Number | 6018151722 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 18139 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 156441 | AL | -- | |
| 1891702148 | MS | NPI | |
| 512G700003 | MS | UP MEDICARE | |
| 1335061 | LA | -- | |
| 106655 | AL | -- | |
| 512I200002 | MS | MEDICARE PTAN | |
| P00643807 | MS | UP RRMCR PTAN | |
| 1301804 | MS | -- | |
| 18139 | MS | MEDICAL LICENSE | |
| 200000517 | MS | MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Matthew L Graves by the Centers for Medicare & Medicaid Services?
The Matthew L Graves has been assigned the NPI (National Provider Identifier) 1891702148. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Matthew L Graves is geographically located?
The Matthew L Graves is physically situated at the following location: 2500 N State St, Jackson, MS, 392164500.
What is Matthew L Graves's area of expertise and its corresponding taxonomy classification?
The Matthew L Graves's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1891702148 to Matthew L Graves?
The Centers for Medicare & Medicaid Services originally issued the 1891702148 to Matthew L Graves on 2006-08-01.
When was the information pertaining to Matthew L Graves most recently updated or revised?
The details related to Matthew L Graves, including its address, specialty, and other relevant information, were last updated or revised on 2014-03-04.
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