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Individual
VICKIE L GRAHAM
Active
Individual
VICKIE L GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN165086
GA
363LF0000X
Family Nurse Practitioner
Primary
25365
SC
Other
Enumeration date
07/08/2010
Last updated
06/24/2025
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