Individual
MRS. BETHANY T GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 MYRTLE GREENS DR APT C, CONWAY, SC 29526-9048
(843) 222-3557
Mailing address
400 MYRTLE GREENS DR APT C, CONWAY, SC 29526-9048
(843) 222-3557
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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