Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Shirley Gravenor, MD

Individual provider Adult Medicine Physician · NPI 1871928556

Dr. Shirley Gravenor, MD is an Adult Medicine Physician in Germantown, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2013
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2636 Park Creek Dr
Germantown, TN 38139-6556
Phone: (901) 737-7779
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X · Licence MD0000034785 (TN)

Record details

NPI number1871928556
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 12, 2013
Last updated in NPPESSeptember 12, 2013

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