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Individual

BRIANA GAYLE GRAHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
300 E MCKAY ST, ELIZABETHTOWN, NC 28337-9037
(910) 862-5500
Mailing address
8214 SALTWOOD PL, RALEIGH, NC 27617-8729

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-01231
NC
363AM0700X
Medical Physician Assistant
Primary
0010-01231
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NC1812E
PTAN
NC
Enumeration date
12/11/2007
Last updated
11/24/2025
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