Individual
NATACHA GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPC, CFM
Contact information
Practice address
102 COURT ST, WETUMPKA, AL 36092-2709
(334) 478-5090
(844) 826-8064
Mailing address
102 COURT ST, WETUMPKA, AL 36092-2709
(334) 478-5090
(844) 826-8064
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary
402
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023569803
DME
AL
Enumeration date
03/16/2021
Last updated
03/16/2021
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