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Contact Information

GRAVES C STUBBLEFIELD JR, MD
406 BRIARWOOD DR
JACKSON, MS39206-3039
 Phone: 601-991-1933
 Fax: 601-978-3844
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for GRAVES C STUBBLEFIELD JR · (Male)

NPI Number 1003026345
Status Active
Credentials MD
Entity Individual
Enumeration date 05/23/2007
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • MS License # 05680
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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