Graves, Anitra Simone

Graves, Anitra Simone is an sole proprietor health care provider with primary practice located at 15 Reinhardt College Pkwy Suite 108, Canton GA 30114-5257. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Graves, Anitra Simone can be contacted via phone (678) 493-2527.

Contact Information

Primary practice address
15 Reinhardt College Pkwy Suite 108 Canton GA 30114-5257
Phone: (678) 493-2527
Fax: (678) 492-5608
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 49799 Georgia
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 049799 Georgia
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 01078528A Indiana
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 49799 Georgia
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 049799 Georgia

Profile Details

NPI number 1285669739
LBN Legal business name Graves, Anitra Simone
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2006
Last updated Mar 17th, 2018 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285669739 NPPES
Georgia MEDICAID 289374423A

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