Individual
DUSTY STAR GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
205 PAGE RD, PINEHURST, NC 28374-8798
(910) 295-5511
Mailing address
1303 CARTHAGE ST, SANFORD, NC 27330-8984
(919) 292-2468
(919) 292-2167
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
210121
NC
363LF0000X
Family Nurse Practitioner
Primary
5011698
NC
Other
Enumeration date
04/10/2019
Last updated
12/27/2022
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