Individual
MRS. BEVERLY DENISE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
708 S GRANT ST STE 15, FITZGERALD, GA 31750-5707
(912) 309-3338
(229) 345-8290
Mailing address
228 CROMWELL CIR, DOUGLAS, GA 31535-7411
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN130303
GA
Other
Enumeration date
11/21/2017
Last updated
08/16/2024
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