Individual
MARIAN THERESA GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
190 HATCHER LN STE B, CLARKSVILLE, TN 37043-5989
(931) 221-0902
(931) 221-0602
Mailing address
190 HATCHER LN STE B, CLARKSVILLE, TN 37043-5989
(931) 221-0902
(931) 221-0602
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA18404
TX
Other
Enumeration date
07/01/2022
Last updated
09/12/2025
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