Individual
MRS. NAOMI TRACEY GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3305 RUTHERFORD RD STE L, TAYLORS, SC 29687-2159
(864) 801-3355
Mailing address
19 BENTLEY WAY, GREER, SC 29650-3682
(864) 801-3355
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235303835
NPI
SC
Enumeration date
04/15/2008
Last updated
06/20/2008
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