DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TIM GRAVGAARD

Active Sole Proprietor

TIM GRAVGAARD is a Driver healthcare provider located in ELIZABETH CITY, North Carolina. NPI 1891472650 is currently active in the NPPES registry. Verify at CMS.

Driver · ELIZABETH CITY, NC

Registration Details

NPI Number
1891472650
Provider Type
Individual
Gender
Male
NPI Issued
Jul 3, 2023 (3.1247483765099 yrs)
Last Updated
Jul 3, 2023
License
20899329 (NC)
Sole Proprietor
Yes

Practice Information

Address
117 MATTHEWS DR
ELIZABETH CITY, NC, 279097739
Browse NC providers · Browse ZIP 27909
Phone
7576189866
Primary Specialty
Driver
172A00000X

Other Driver Providers in ELIZABETH CITY, NC

Name Credential NPI
JANICE TOLENTINO WILLIAMS 1144107640
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.