Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHIRLEY GRAVENOR, M.D.
Active Sole ProprietorDR. SHIRLEY GRAVENOR, M.D. is a Adolescent Medicine healthcare provider located in GERMANTOWN, Tennessee. NPI 1871928556 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · GERMANTOWN, TN
Registration Details
- NPI Number
- 1871928556
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 12, 2013 (12.930209450568 yrs)
- Last Updated
- Sep 12, 2013
- License
-
MD0000034785 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2636 PARK CREEK DRGERMANTOWN, TN, 381396556Browse TN providers · Browse ZIP 38139
- Phone
- 9017377779
- Primary Specialty
-
Adolescent Medicine
207QA0505X
Other Adolescent Medicine Providers in GERMANTOWN, TN
| Name | Credential | NPI |
|---|---|---|
| MOLLY DENTON | — | 1669148318 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.