Individual
MRS. DEUNDRA LORAINE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5110 WELLS DR, EVANS, GA 30809-7056
(706) 664-4106
Mailing address
50 S B B KING BLVD, MEMPHIS, TN 38103-2626
(901) 436-1381
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN206205
GA
Other
Enumeration date
01/22/2022
Last updated
05/09/2022
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