Individual
DR. HEATHER GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1918 RANDOLPH RD, SUITE 670, CHARLOTTE, NC 28207-1100
(704) 384-1620
(704) 384-1626
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-1620
(704) 384-1626
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2015-01105
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/02/2008
Last updated
08/12/2015
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