Individual
MS. MARY MARGARET GRAHAM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1130 WESTERN AVE, CHILLICOTHE, OH 45601-1174
(740) 775-7800
(740) 773-8545
Mailing address
517 ALLEN AVE, CHILLICOTHE, OH 45601-1457
(740) 775-7800
(740) 773-8545
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
36003331G
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2413721
—
OH
Enumeration date
05/23/2005
Last updated
07/08/2007
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