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Individual

GRAHAM LAWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1061 DOWDY RD STE 101, ATHENS, GA 30606-5700
(706) 621-7555
Mailing address
310 CATAWBA TRL, LEXINGTON, SC 29072-9570

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9283
GA
390200000X
Student in an Organized Health Care Education/Training Program
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9283
PA LICENSE NUMBER
GA
Enumeration date
11/16/2018
Last updated
07/01/2019
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