Individual
EMILY M. LANKFORD GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3595 BECKY ST, VALDOSTA, GA 31605-5228
(229) 292-4319
Mailing address
3595 BECKY ST, VALDOSTA, GA 31605-5228
(229) 292-4319
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000931741A
—
GA
Enumeration date
10/13/2011
Last updated
10/13/2011
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