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Organization
GRAHAM CHIROPRACTIC CENTER INC
Active
Organization
GRAHAM CHIROPRACTIC CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN B GRAHAM DC (OWNER)
(508) 747-1434
Entity
Organization
Contact information
Practice address
34 LONG POND RD, PLYMOUTH, MA 02360
(508) 747-1434
(508) 747-0772
Mailing address
34 LONG POND RD, PLYMOUTH, MA 02360
(508) 747-1434
(508) 747-0772
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2158
MA
111NS0005X
Sports Physician Chiropractor
2158
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
698922
UNITED HEALTH CARE
MA
01
—
Y45593
BCBS OF MA
MA
Enumeration date
11/08/2006
Last updated
10/01/2008
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