Individual
ROBERT GORDON GRAPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2915 COLTSGATE RD, STE 103, CHARLOTTE, NC 28211
(704) 375-7111
(704) 375-0444
Mailing address
2915 COLTSGATE RD, STE 103, CHARLOTTE, NC 28211
(704) 375-7111
(704) 375-0444
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
33669
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7936801
—
NC
Enumeration date
02/26/2007
Last updated
07/08/2010
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