Individual
MRS. ALLISE SLIGH GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN
Contact information
Practice address
2472 HUGHEY FERRY RD, POMARIA, SC 29126-9368
(803) 940-3411
Mailing address
2472 HUGHEY FERRY RD, POMARIA, SC 29126-9368
(803) 940-3411
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
226524
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194754200
—
SC
Enumeration date
03/24/2017
Last updated
03/24/2017
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