Provider Demographics
NPI:1306834619
Name:GRAVES, JOE ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:JOE
Middle Name:ALAN
Last Name:GRAVES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2100 W CLINCH AVE
Mailing Address - Street 2:SUITE 330
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37916-2219
Mailing Address - Country:US
Mailing Address - Phone:865-673-8229
Mailing Address - Fax:865-673-8893
Practice Address - Street 1:2100 W CLINCH AVE
Practice Address - Street 2:SUITE 330
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37916-2219
Practice Address - Country:US
Practice Address - Phone:865-673-8229
Practice Address - Fax:865-673-8893
Is Sole Proprietor?:No
Enumeration Date:2005-10-11
Last Update Date:2014-02-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TNMD23686207YP0228X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YP0228XAllopathic & Osteopathic PhysiciansOtolaryngologyPediatric Otolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
E92502Medicare UPIN