Individual
ERIC MATTHEW GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
22080
SC
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
22080
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220807
—
SC
Enumeration date
08/29/2006
Last updated
06/26/2018
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