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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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