Most Relevant Information
Provider Data
| NPI Number: | 1003026345 |
| Provider Name: | GRAVES CRAWLEY STUBBLEFIELD M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207RH0003X |
| Specialty: | Internal Medicine |
| License Number: | 05680 |
Most Important Dates
| Enumeration Date: | 05/23/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
406 BRIARWOOD DR
JACKSON
MS
392063039
Practice Location Phone/Fax
| Phone: | 6019911933 |
| Fax: | 6019783844 |
Provider Mailing Location
2545 EASTOVER DR
JACKSON
MS
392116729
Provider Mailing Phone/Fax
| Phone: | 6019827914 |
| Fax: | 6013628545 |