Gravenor, Shirley

Gravenor, Shirley is an sole proprietor health care provider with primary practice located at 2636 Park Creek Dr , Germantown TN 38139-6556. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as her primary health care specialty. Gravenor, Shirley can be contacted via phone (901) 737-7779.

Contact Information

Primary practice address
2636 Park Creek Dr Germantown TN 38139-6556
Phone: (901) 737-7779
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X MD0000034785 Tennessee

Profile Details

NPI number 1871928556
LBN Legal business name Gravenor, Shirley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 12th, 2013
Last updated Sep 12th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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