Individual
GRAHAM HARVEY COSPER
Active
Individual
GRAHAM HARVEY COSPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
2009-00994
NC
2086S0120X
Pediatric Surgery Physician
E-5149
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2075144
MEDICARE
—
01
—
5912425
MEDICAID
NC
01
—
N94009
MEDICAID
SC
Enumeration date
05/18/2007
Last updated
07/29/2010
Update your record
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